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SEWHO, Abduction Positioning, Airplane, Prefabricated

Hawaii 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?

$1,288

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $1,288 for this service. Most negotiated rates run $490 to $1,288.

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.

How much rates vary

Facilitymedian $501 · 10th to 90th $398 to $1,000Professionalmedian $1,288 · 10th to 90th $447 to $1,349
$500$1Kfacility $501professional $1,288

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$446.68
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,174.90
Typical High
$1,584.89
HMSA
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,348.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,288.25
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$407.38
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$676.08
Typical High
$1,548.82

Where Hawaii 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.

Hawaii· 1st of 51

$1,288

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.