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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

North Dakota 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 $575 · 10th–90th $550$1,1750%20%40%10th90th$575Professionalmedian $741 · 10th–90th $479$9550%10%10th90th$741$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
$549.54
Median
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$549.54
Typical High
$4,073.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$912.01
Typical High
$1,148.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$794.33
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$549.54
Typical High
$933.25