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SEWHO, Abduction Positioning, Airplane, Prefabricated

Indiana 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?

$479

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $468 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$468$437 to $501
FacilityA hospital or hospital-owned outpatient department$891$490 to $891

How much rates vary

Facilitymedian $891 · 10th to 90th $437 to $955Professionalmedian $468 · 10th to 90th $407 to $741
$500$1K$2Kfacility $891professional $468

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
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$446.68
Typical High
$562.34
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$891.25
Typical High
$1,122.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$891.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,174.90
Typical High
$1,348.96
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
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$562.34
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$616.60

Where Indiana 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.

Indiana· 35th of 51

$479

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.