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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 July 2026.

Facilitymedian $324 · 10th–90th $324$1,2880%50%90th$324Professionalmedian $324 · 10th–90th $324$5130%50%90th$324$500.0$1.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$512.86
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$549.54
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
$524.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$416.87
Typical High
$758.58