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SEWHO, Abduction Positioning, Airplane, Prefabricated

Arizona rates for HCPCS L3960

Shoulder-elbow-wrist-hand orthosis (SEWHO), abduction positioning, airplane design, prefabricated, includes fitting and adjustment

Rates data updated July 2026.

How much does SEWHO, Abduction Positioning, Airplane, Prefabricated cost?

$490

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $933 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$490$427 to $603
FacilityA hospital or hospital-owned outpatient department$933$437 to $1,445

How much rates vary

Facilitymedian $933 · 10th to 90th $288 to $2,138Professionalmedian $490 · 10th to 90th $372 to $1,230
$500$1K$2K$5Kfacility $933professional $490

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$1,230.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$1,230.27
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$512.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$724.44
Typical High
$4,265.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$407.38
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$891.25
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$602.56

Where Arizona sits

The same service costs 3.9 times more in Hawaii than in Washington, DC. 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.

Arizona· 29th of 51

$490

HI $1,288DC $331

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.