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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Arizona 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?

$468

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $912 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 5 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$447$389 to $575
FacilityA hospital or hospital-owned outpatient department$912$427 to $1,413

How much rates vary

Facilitymedian $912 · 10th to 90th $282 to $2,089Professionalmedian $447 · 10th to 90th $355 to $1,096
$500$1K$2K$5Kfacility $912professional $447

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
$363.08
Median
$446.68
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$1,174.90
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$2,187.76
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
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$707.95
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$851.14
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$588.84

Where Arizona 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.

Arizona· 35th of 51

$468

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.