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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Idaho 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?

$692

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $871 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$661$417 to $955
FacilityA hospital or hospital-owned outpatient department$871$692 to $955

How much rates vary

Facilitymedian $871 · 10th to 90th $447 to $1,230Professionalmedian $661 · 10th to 90th $324 to $1,096
$200$500$1K$2Kfacility $871professional $661

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
Professional
Modifier
Global
Typical Low
$323.59
Median
$575.44
Typical High
$870.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$489.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$812.83
Typical High
$1,071.52
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$851.14
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$954.99
Typical High
$954.99
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,096.48
Select Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,000.00
Typical High
$1,513.56
Select Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$954.99
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$0.63
Median
$457.09
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$562.34

Where Idaho 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.

Idaho· 13th of 51

$692

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.