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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Minnesota 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 $1,380 · 10th–90th $676$6,4570%20%10th90th$1,380Professionalmedian $794 · 10th–90th $525$9120%50%10th90th$794$1.0$5.0$20.0$100.0$500.0$2.0K$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
$549.54
Median
$549.54
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$549.54
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$794.33
Typical High
$1,174.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,019.95
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,047.13
Typical High
$1,174.90
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$6,456.54
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$794.33
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$398.11
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$467.74
Typical High
$1,122.02