go back

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 July 2026.

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

$776

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $776 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$631$417 to $832
FacilityA hospital or hospital-owned outpatient department$776$661 to $832

How much rates vary

Facilitymedian $776 · 10th to 90th $513 to $955Professionalmedian $631 · 10th to 90th $257 to $1,514
$100$200$500$1K$2K$5Kfacility $776professional $631

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$416.87
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$831.76
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$831.76
Typical High
$831.76
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$776.25
Typical High
$1,513.56
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$776.25
Typical High
$1,513.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$776.25
Typical High
$1,071.52
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$616.60
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$446.68
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$398.11
Typical High
$602.56

Where Montana sits

The same service costs 3.6 times more in Hawaii than in Washington, DC. 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· 8th of 51

$776

HI $1,175DC $324

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.