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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

New Hampshire 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?

$708

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $1,072 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$646$479 to $933
FacilityA hospital or hospital-owned outpatient department$1,072$708 to $1,148

How much rates vary

Facilitymedian $1,072 · 10th to 90th $589 to $1,318Professionalmedian $646 · 10th to 90th $363 to $933
$500$1K$2Kfacility $1,072professional $646

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
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$588.84
Typical High
$707.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,148.15
Typical High
$1,318.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$489.78
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$407.38
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$933.25
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,318.26

Where New Hampshire 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.

New Hampshire· 12th of 51

$708

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.