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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Oklahoma 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 $417 · 10th–90th $363$1,0000%20%40%10th90th$417Professionalmedian $398 · 10th–90th $331$5620%20%10th90th$398$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
$363.08
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$426.58
Typical High
$501.19
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
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$2,454.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$645.65
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$562.34