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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

New Mexico 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 $562 · 10th–90th $257$1,0720%10%10th90th$562Professionalmedian $479 · 10th–90th $389$1,0960%10%20%10th90th$479$100.0$200.0$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
$389.05
Median
$389.05
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$1,174.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$588.84
Typical High
$1,071.52
Providence
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$426.58
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$398.11
Typical High
$588.84