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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Montana 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?

$813

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $832 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$776$398 to $832
FacilityA hospital or hospital-owned outpatient department$832$813 to $45,709

How much rates vary

Facilitymedian $832 · 10th to 90th $550 to $46,774Professionalmedian $776 · 10th to 90th $79 to $891
$100$500$2K$10K$50Kfacility $832professional $776

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
Professional
Modifier
None
Typical Low
$257.04
Median
$436.52
Typical High
$891.25
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$831.76
Typical High
$831.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$831.76
Typical High
$831.76
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,000.00
Typical High
$46,773.51
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$891.25
Typical High
$48,977.88
Providence
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$831.76
Typical High
$831.76
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$616.60
Typical High
$831.76
United
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$398.11
Typical High
$660.69

Where Montana 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.

Montana· 6th of 51

$813

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.