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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Nebraska 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 $933 · 10th–90th $398$4,1690%20%10th90th$933Professionalmedian $363 · 10th–90th $309$7590%20%40%10th90th$363$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
$588.84
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$363.08
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$891.25
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,023.29
Typical High
$1,949.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,000.00
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$933.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$2,511.89
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,290.87
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$758.58
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$436.52
Typical High
$724.44