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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Illinois 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 $813 · 10th–90th $407$4,0740%20%10th90th$813Professionalmedian $537 · 10th–90th $363$8320%20%10th90th$537$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
$407.38
Median
$407.38
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$416.87
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,548.82
Typical High
$5,495.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$616.60
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$912.01
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$933.25
Typical High
$1,174.90
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$645.65
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$707.95