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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Kansas 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 $724 · 10th–90th $257$9330%20%40%10th90th$724Professionalmedian $832 · 10th–90th $372$8320%50%10th$832$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
$724.44
Median
$724.44
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$501.19
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$758.58
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$645.65
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$457.09
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$758.58
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$645.65