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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Mississippi 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 $741 · 10th–90th $437$1,0720%20%40%10th90th$741Professionalmedian $501 · 10th–90th $355$8910%10%10th90th$501$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
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$562.34
Typical High
$891.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$776.25
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$446.68
Typical High
$630.96