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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Alaska rates for HCPCS L3962

Shoulder-elbow-wrist-hand orthosis (SEWHO), abduction positioning, Erb's palsy design, prefabricated, includes fitting and adjustment

Rates data updated October 2026.

How much does SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated cost?

$1,047

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $912 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,047$851 to $1,047
FacilityA hospital or hospital-owned outpatient department$912$490 to $1,047

How much rates vary

Facilitymedian $912 · 10th to 90th $490 to $1,096Professionalmedian $1,047 · 10th to 90th $479 to $1,259
$100$200$500$1K$2Kfacility $912professional $1,047

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Aetna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$912.01
Typical High
$912.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$549.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$1,258.93
Moda Health
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$1,047.13
Typical High
$1,318.26
Moda Health
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$1,047.13
Typical High
$1,096.48
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$1,096.48
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,047.13
Typical High
$1,071.52
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$891.25
Median
$1,047.13
Typical High
$1,047.13
Providence
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$489.78
Typical High
$1,318.26
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$489.78
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$588.84
Typical High
$2,187.76

Where Alaska sits

The same service costs 3.2 times more in Hawaii than in Delaware. 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.

Alaska· 2nd of 51

$1,047

HI $1,175DE $363

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.