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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.

Facilitymedian $912 · 10th–90th $282$2,0890%10%10th90th$912Professionalmedian $447 · 10th–90th $355$1,0960%20%10th90th$447$1.0$5.0$20.0$100.0$500.0$2.0K

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
$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