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HCPCS L3999

Upper limb orthosis, not otherwise specified

Current code11 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$19.98 – $34012 plans$14.80 – $160$37.00 – $400
Deaconess Medical CenterSpokaneFile dated 2026-08-27$13.75 – $29211 plans$14.80 – $160$37.00 – $400
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$22.20 – $32616 plans$14.80 – $160$37.00 – $400
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$17.81 – $29212 plans$14.80 – $160$37.00 – $400
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$17.81 – $29212 plans$14.80 – $160$37.00 – $400
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$17.81 – $29212 plans$14.80 – $160$37.00 – $400
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$13.75 – $28811 plans$14.80 – $160$37.00 – $400
PeaceHealth Southwest Medical CenteVancouver—$48.10$74.00
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$17.81 – $29212 plans$14.80 – $160$37.00 – $400
WhidbeyHealth Medical CenterCoupeville—$263$263
Yakima Valley MemorialYakimaFile dated 2026-08-27$11.27 – $13514 plans$9.20 – $62.80$23.00 – $157

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.