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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Utah 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?

$479

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $398 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$479$355 to $871
FacilityA hospital or hospital-owned outpatient department$398$257 to $794

How much rates vary

Facilitymedian $398 · 10th to 90th $257 to $794Professionalmedian $479 · 10th to 90th $257 to $4,571
$500$1K$2K$5Kfacility $398professional $479

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$363.08
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$489.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$575.44
Typical High
$758.58
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$794.33
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$562.34
Typical High
$1,096.48
Select Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$812.83
Typical High
$1,000.00
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$812.83
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$602.56

Where Utah 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.

Utah· 30th of 51

$479

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.