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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.

Facilitymedian $661 · 10th–90th $389$2,2390%20%10th90th$661Professionalmedian $575 · 10th–90th $331$1,0960%20%10th90th$575$1.0$5.0$20.0$100.0$500.0$2.0K

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
$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