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SEWHO, Abduction Positioning, Airplane, Prefabricated

Georgia 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?

$562

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $562 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 7 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$562$447 to $759
FacilityA hospital or hospital-owned outpatient department$933$437 to $1,698

How much rates vary

Facilitymedian $933 · 10th to 90th $437 to $3,388Professionalmedian $562 · 10th to 90th $407 to $1,122
$500$1K$2Kfacility $933professional $562

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
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$1,122.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,230.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,187.76
Typical High
$3,388.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$758.58
Typical High
$1,122.02
CareSource
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$1,122.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$933.25
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$398.11
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$891.25

Where Georgia 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.

Georgia· 17th of 51

$562

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.