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SEWHO, Abduction Positioning, Airplane, Prefabricated

Minnesota 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?

$871

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $1,514 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$871$692 to $871
FacilityA hospital or hospital-owned outpatient department$1,514$871 to $3,311

How much rates vary

Facilitymedian $1,514 · 10th to 90th $741 to $7,079Professionalmedian $871 · 10th to 90th $490 to $1,023
$500$1K$2K$5K$10Kfacility $1,514professional $871

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
$602.56
Median
$602.56
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$562.34
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$870.96
Typical High
$1,288.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,311.31
Typical High
$9,120.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$1,288.25
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$3,630.78
Typical High
$7,079.46
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$870.96
Typical High
$4,265.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$407.38
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$407.38
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$478.63
Typical High
$1,380.38

Where Minnesota 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.

Minnesota· 3rd of 51

$871

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.