go back

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.

Facilitymedian $479 · 10th–90th $257$1,0720%20%40%10th90th$479Professionalmedian $537 · 10th–90th $447$1,4790%20%40%10th90th$537$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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