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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Indiana 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 $389$9550%20%40%10th90th$813Professionalmedian $437 · 10th–90th $380$7590%20%40%10th90th$437$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
$389.05
Median
$389.05
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$426.58
Typical High
$758.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$812.83
Typical High
$1,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$478.63
Typical High
$851.14
CareSource
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,230.27
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$524.81
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$588.84