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SEWHO, Abduction Positioning, Airplane, Prefabricated

New Hampshire 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?

$646

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $977 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$589$490 to $851
FacilityA hospital or hospital-owned outpatient department$977$646 to $1,047

How much rates vary

Facilitymedian $977 · 10th to 90th $537 to $1,202Professionalmedian $589 · 10th to 90th $372 to $851
$500$1K$2Kfacility $977professional $589

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
$537.03
Median
$537.03
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$537.03
Typical High
$645.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,047.13
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$512.86
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$416.87
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$575.44
Typical High
$851.14
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,202.26

Where New Hampshire 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.

New Hampshire· 10th of 51

$646

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.