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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Texas 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 $603 · 10th–90th $355$1,9500%10%10th90th$603Professionalmedian $380 · 10th–90th $347$6460%50%10th90th$380$1.0$5.0$20.0$100.0$500.0$2.0K

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
$354.81
Median
$363.08
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$389.05
Typical High
$645.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$489.78
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,888.44
Typical High
$5,888.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$630.96
Typical High
$1,174.90
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$758.58
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$426.58
Providence
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$616.60
Typical High
$1,174.90
Providence
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$645.65
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$478.63
Typical High
$562.34
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$812.83
Typical High
$1,096.48