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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Massachusetts 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 $661 · 10th–90th $457$3,3110%20%10th90th$661Professionalmedian $871 · 10th–90th $427$1,3800%20%10th90th$871$1.0$10.0$100.0$1.0K$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
$457.09
Median
$457.09
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$457.09
Typical High
$1,445.44
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$5,128.61
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$812.83
Typical High
$1,288.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$616.60
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$630.96
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,380.38
Health New England
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$5,128.61
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$812.83
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$501.19
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$812.83
Typical High
$933.25