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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Iowa 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?

$575

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $661 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$575$437 to $891
FacilityA hospital or hospital-owned outpatient department$661$550 to $1,259

How much rates vary

Facilitymedian $661 · 10th to 90th $389 to $2,239Professionalmedian $575 · 10th to 90th $331 to $1,096
$500$1K$2K$5Kfacility $661professional $575

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$575.44
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$912.01
Typical High
$1,148.15
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,047.13
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$1,513.56
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,071.52
Typical High
$1,230.27
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,548.82
Typical High
$1,548.82
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,122.02
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$660.69
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$457.09
Typical High
$851.14
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$891.25

Where Iowa 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.

Iowa· 15th of 51

$575

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.