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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Oregon 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 $741$9770%50%10th90th$933Professionalmedian $724 · 10th–90th $363$1,0960%10%10th90th$724$1.0$10.0$100.0$1.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$660.69
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
$363.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,737.80
Typical High
$2,137.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$1,000.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$794.33
Typical High
$1,096.48
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$977.24
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$977.24
Typical High
$1,071.52
Providence
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$812.83
Typical High
$1,122.02
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$831.76
Typical High
$1,023.29
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,023.29
Typical High
$3,890.45
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$0.63
Median
$398.11
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$758.58