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SEWHO, Abduction Positioning, Airplane, Prefabricated

Idaho 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?

$589

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $851 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 8 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$490 to $794
FacilityA hospital or hospital-owned outpatient department$851$646 to $912

How much rates vary

Facilitymedian $851 · 10th to 90th $437 to $1,148Professionalmedian $562 · 10th to 90th $331 to $1,023
$100$200$500$1K$2Kfacility $851professional $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
Professional
Modifier
Global
Typical Low
$331.13
Median
$537.03
Typical High
$794.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$512.86
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$776.25
Typical High
$1,023.29
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$891.25
Typical High
$933.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$794.33
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$891.25
Typical High
$891.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,023.29
Select Health
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$933.25
Typical High
$1,412.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$467.74
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$407.38
Typical High
$602.56

Where Idaho 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.

Idaho· 12th of 51

$589

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.