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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Rhode Island rates for HCPCS L3962

Shoulder-elbow-wrist-hand orthosis (SEWHO), abduction positioning, Erb's palsy design, prefabricated, includes fitting and adjustment

Rates data updated October 2026.

How much does SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated cost?

$631

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $1,950 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$631$513 to $692
FacilityA hospital or hospital-owned outpatient department$1,950$1,549 to $2,239

How much rates vary

Facilitymedian $1,950 · 10th to 90th $1,072 to $2,455Professionalmedian $631 · 10th to 90th $363 to $871
$500$1K$2Kfacility $1,950professional $631

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$257.04
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$102.33
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$77.62
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$51.29
Median
$63.10
Typical High
$63.10
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$2,089.30
Typical High
$2,454.71
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$691.83
Typical High
$977.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$489.78
United
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
United
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$562.34
Typical High
$870.96

Where Rhode Island sits

The same service costs 3.2 times more in Hawaii than in Delaware. 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.

Rhode Island· 19th of 51

$631

HI $1,175DE $363

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.