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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Michigan rates for HCPCS L3962

Shoulder-elbow-wrist-hand orthosis (SEWHO), abduction positioning, Erb's palsy design, prefabricated, includes fitting and adjustment

Rates data updated October 2026.

How much does SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated cost?

$631

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $1,175 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$631$447 to $794
FacilityA hospital or hospital-owned outpatient department$1,175$490 to $2,291

How much rates vary

Facilitymedian $1,175 · 10th to 90th $490 to $3,467Professionalmedian $631 · 10th to 90th $398 to $813
$500$1K$2K$5Kfacility $1,175professional $631

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$794.33
Typical High
$794.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$794.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$229.09
Median
$229.09
Typical High
$398.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$91.20
Median
$91.20
Typical High
$158.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$69.18
Median
$69.18
Typical High
$117.49
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$45.71
Median
$45.71
Typical High
$79.43
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$2,344.23
Typical High
$4,466.84
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$794.33
Typical High
$794.33
CareSource
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$489.78
Typical High
$912.01
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$1,548.82
Typical High
$1,698.24
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$630.96
Typical High
$812.83
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Priority Health
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Priority Health
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$489.78
Typical High
$891.25
United
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$524.81
Typical High
$1,071.52
United
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$398.11
Typical High
$562.34

Where Michigan sits

The same service costs 3.2 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 18th of 51

$631

HI $1,175DE $363

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.