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SEWHO, Abduction Positioning, Airplane, Prefabricated

Montana 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?

$562

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $794 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$537$468 to $794
FacilityA hospital or hospital-owned outpatient department$794$676 to $851

How much rates vary

Facilitymedian $794 · 10th to 90th $525 to $1,096Professionalmedian $537 · 10th to 90th $372 to $851
$100$200$500$1K$2K$5Kfacility $794professional $537

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
$371.54
Median
$489.78
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$851.14
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$1,548.82
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$1,548.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$758.58
Typical High
$1,148.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$645.65
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$457.09
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$407.38
Typical High
$616.60

Where Montana 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.

Montana· 15th of 51

$562

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.