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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 July 2026.

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

$490

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $479 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$457 to $1,047
FacilityA hospital or hospital-owned outpatient department$479$257 to $1,047

How much rates vary

Facilitymedian $479 · 10th to 90th $257 to $1,072Professionalmedian $537 · 10th to 90th $447 to $1,479
$500$1K$2Kfacility $479professional $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
$389.05
Median
$478.63
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$1,258.93
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$676.08
Typical High
$1,047.13
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,096.48
Typical High
$3,019.95
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,047.13
Typical High
$1,096.48
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,096.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$1,071.52
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$489.78
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$446.68
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$2,691.53

Where Alaska sits

The same service costs 3.6 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.

Alaska· 25th of 51

$490

HI $1,175DC $324

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.