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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Maryland 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 $457 · 10th–90th $295$8130%20%10th90th$457Professionalmedian $389 · 10th–90th $324$6760%20%10th90th$389$500.0$1.0K$2.0K$5.0K

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
Professional
Modifier
Global
Typical Low
$323.59
Median
$346.74
Typical High
$645.65
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$549.54
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
$489.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$812.83
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$398.11
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$416.87
Typical High
$630.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$691.83