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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Pennsylvania 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?

$398

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $389 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 9 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$389$363 to $550
FacilityA hospital or hospital-owned outpatient department$1,072$380 to $1,660

How much rates vary

Facilitymedian $1,072 · 10th to 90th $324 to $2,818Professionalmedian $389 · 10th to 90th $324 to $794
$500$1K$2K$5K$10K$20K$50Kfacility $1,072professional $389

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
$323.59
Median
$323.59
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$389.05
Typical High
$660.69
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$489.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,047.13
Typical High
$1,548.82
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$812.83
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$1,258.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$758.58
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,905.46
Typical High
$3,090.30
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$758.58
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,071.52
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$812.83

Where Pennsylvania 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.

Pennsylvania· 44th of 51

$398

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.