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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Washington, DC 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?

$427

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $427 for this service. Most negotiated rates run $363 to $550.

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.

How much rates vary

Facilitymedian $324 · 10th to 90th $324 to $550Professionalmedian $427 · 10th to 90th $324 to $759
$500$1Kfacility $324professional $427

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
$323.59
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$575.44
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$162.18
Median
$162.18
Typical High
$288.40
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$64.57
Median
$64.57
Typical High
$114.82
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$48.98
Median
$48.98
Typical High
$87.10
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$32.36
Median
$32.36
Typical High
$57.54
CareFirst
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$549.54
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
$489.78
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$691.83
Typical High
$1,584.89
United
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$512.86
Typical High
$851.14

Where Washington, DC 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.

Washington, DC· 47th of 51

$427

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.