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SEWHO, Abduction Positioning, Airplane, Prefabricated

Ohio 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?

$490

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 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 8 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$490$427 to $646
FacilityA hospital or hospital-owned outpatient department$891$513 to $955

How much rates vary

Facilitymedian $891 · 10th to 90th $427 to $1,349Professionalmedian $490 · 10th to 90th $380 to $891
$500$1K$2Kfacility $891professional $490

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
$407.38
Median
$467.74
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$467.74
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$933.25
Typical High
$1,905.46
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$524.81
Typical High
$1,148.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$776.25
Typical High
$1,096.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$812.83
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$562.34
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$537.03
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$524.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$758.58
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,000.00
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$707.95
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$630.96

Where Ohio 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.

Ohio· 31st of 51

$490

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.