HCPCS L3999 at Quincy Valley Medical Center

Upper limb orthosis, not otherwise specified

Quincy Valley Medical Center, Quincy

Description from CMS's HCPCS Level II code file.

What Quincy Valley Medical Center publishes for this code: as an outpatient

Quincy Valley Medical Center’s prices for HCPCS L3999, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$22.06 – $25.092 plans	—
Medicare AdvantageInsurer rates	$16.61 – $18.891 plan	—
Medicaid managed careInsurer rates	$13.75 – $15.641 plan	—
UnknownInsurer rates	$16.61 – $28.047 plans	—
Cash pricePaying yourself, without insurance	$25.95 – $29.52	—
List priceBefore any discount; few people pay it	$25.95 – $29.52	—

Lowest and highest amounts Quincy Valley Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-05-27. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS L3999 at Quincy Valley Medical Center
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The service	—	The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS L3999 at every Washington hospital, with Medicare’s reference amounts.