go back

SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Tennessee 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?

$468

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $490 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$468$407 to $724
FacilityA hospital or hospital-owned outpatient department$490$490 to $490

How much rates vary

Facilitymedian $490 · 10th to 90th $479 to $525Professionalmedian $468 · 10th to 90th $363 to $5,129
$500$1K$2K$5Kfacility $490professional $468

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Aetna
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$426.58
Typical High
$467.74
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$208.93
Median
$213.80
Typical High
$234.42
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$83.18
Median
$85.11
Typical High
$93.33
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$63.10
Median
$64.57
Typical High
$69.18
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$41.69
Median
$42.66
Typical High
$46.77
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$524.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$489.78
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$5,128.61
Median
$6,025.60
Typical High
$6,025.60
United
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$446.68
Typical High
$549.54

Where Tennessee 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.

Tennessee· 35th of 51

$468

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.