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SEWHO, Abduction Positioning, Airplane, Prefabricated

South Dakota 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?

$724

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $708 from a physician practice, and about $813 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 7 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$708$550 to $977
FacilityA hospital or hospital-owned outpatient department$813$741 to $1,000

How much rates vary

Facilitymedian $813 · 10th to 90th $550 to $1,096Professionalmedian $708 · 10th to 90th $490 to $1,259
$500$1K$2Kfacility $813professional $708

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$562.34
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$831.76
Typical High
$1,513.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$575.44
Typical High
$5,128.61
Midlands
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$977.24
Typical High
$977.24
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,445.44
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$467.74
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$616.60
Typical High
$1,023.29
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14

Where South Dakota 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.

South Dakota· 7th of 51

$724

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.