go back

SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Kentucky 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 $490 · 10th–90th $355$1,3180%20%10th90th$490Professionalmedian $468 · 10th–90th $380$5890%50%10th90th$468$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
$489.78
Median
$489.78
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$426.58
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$954.99
Typical High
$1,023.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$478.63
CareSource
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,288.25
Typical High
$1,659.59
CareSource
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,174.90
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$741.31
Typical High
$4,365.16
Molina
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$630.96
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$426.58
Typical High
$602.56