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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

South Carolina 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 $537 · 10th–90th $427$1,2020%20%10th90th$537Professionalmedian $468 · 10th–90th $355$8320%20%10th90th$468$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
$467.74
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$870.96
Typical High
$954.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$812.83
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$912.01
Medcost
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$478.63
Medcost
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$676.08
Typical High
$1,513.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$257.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$489.78
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$457.09
Typical High
$588.84