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Other Upper Limb Orthosis

Wisconsin rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated October 2026.

How much does Other Upper Limb Orthosis cost?

$5.62

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $5.62 for this service. The price depends on where it is billed: about $5.62 from a physician practice, and about $34.67 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.62$1.17 to $5.62
FacilityA hospital or hospital-owned outpatient department$34.67$34.67 to $48.98

How much rates vary

Facilitymedian $35 · 10th to 90th $35 to $112Professionalmedian $6 · 10th to 90th $1 to $6
$2$5$10$20$50$100facility $35professional $6

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.17
Median
$5.62
Typical High
$5.62
Medica
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$112.20
Typical High
$112.20
Quartz
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Quartz
Setting
Professional
Modifier
None
Typical Low
$1.17
Median
$5.62
Typical High
$5.62

Where Wisconsin sits

The same service costs 426.6 times more in Georgia than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 30th of 51

$5.62

GA $501RI $1.17

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.