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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Missouri 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 $759 · 10th–90th $447$1,6220%20%10th90th$759Professionalmedian $490 · 10th–90th $363$1,1220%20%10th90th$490$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
$478.63
Median
$478.63
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$4,570.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$3,311.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$478.63
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$741.31
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$758.58
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$707.95