go back

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 October 2026.

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

$794

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $794 from a physician practice, and about $912 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$794$525 to $912
FacilityA hospital or hospital-owned outpatient department$912$776 to $1,023

How much rates vary

Facilitymedian $912 · 10th to 90th $631 to $1,479Professionalmedian $794 · 10th to 90th $355 to $1,047
$500$1K$2K$5Kfacility $912professional $794

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
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$588.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,023.29
Typical High
$1,148.15
Medica
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$912.01
Typical High
$1,479.11
Medica
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$501.19
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$1,412.54
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$794.33
Typical High
$912.01
United
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$436.52
Typical High
$660.69
Wellmark
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25

Where South Dakota 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.

South Dakota· 7th of 51

$794

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.