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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

South Dakota 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?

$776

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $794 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 7 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$759$550 to $912
FacilityA hospital or hospital-owned outpatient department$794$617 to $977

How much rates vary

Facilitymedian $794 · 10th to 90th $537 to $1,072Professionalmedian $759 · 10th to 90th $537 to $1,148
$500$1K$2K$5Kfacility $794professional $759

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$549.54
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,148.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,479.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$562.34
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$1,023.29
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,412.54
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$794.33
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$933.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25

Where South Dakota 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.

South Dakota· 10th of 51

$776

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.