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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

New Jersey 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 $295 · 10th–90th $269$8130%20%40%10th90th$295Professionalmedian $427 · 10th–90th $309$7940%10%10th90th$427$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
$269.15
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$489.78
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$489.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$1,047.13
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$524.81
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$446.68
Typical High
$794.33