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SEWHO, Abduction Positioning, Airplane, Prefabricated

Illinois 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?

$575

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $891 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 6 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 $676
FacilityA hospital or hospital-owned outpatient department$891$447 to $1,585

How much rates vary

Facilitymedian $891 · 10th to 90th $447 to $4,467Professionalmedian $562 · 10th to 90th $437 to $891
$500$1K$2K$5K$10Kfacility $891professional $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
$446.68
Median
$446.68
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$467.74
Typical High
$891.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,698.24
Typical High
$6,025.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$676.08
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$891.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$1,202.26
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$707.95
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$1,412.54

Where Illinois 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.

Illinois· 14th of 51

$575

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.