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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Hawaii 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?

$1,175

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $1,175 for this service. Most negotiated rates run $490 to $1,175.

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 $490 · 10th to 90th $389 to $912Professionalmedian $1,175 · 10th to 90th $269 to $1,230
$500$1Kfacility $490professional $1,175

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,071.52
Typical High
$1,445.44
HMSA
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,230.27
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,174.90
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$398.11
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$660.69
Typical High
$1,412.54

Where Hawaii 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.

Hawaii· 1st of 51

$1,175

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.