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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Georgia 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 $955 · 10th–90th $447$3,5480%20%10th90th$955Professionalmedian $562 · 10th–90th $380$9330%20%10th90th$562$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$457.09
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,290.87
Typical High
$3,548.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$794.33
Typical High
$1,174.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$1,148.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$954.99
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$933.25