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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Vermont 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 $490 · 10th–90th $295$5250%50%10th90th$490Professionalmedian $513 · 10th–90th $490$6030%50%10th90th$513$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$512.86
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$489.78
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$446.68
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$645.65
Typical High
$2,137.96