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SEWHO, Abduction Positioning, Erb's Palsy, Prefabricated

Wyoming 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 $437 · 10th–90th $389$7760%20%10th90th$437Professionalmedian $603 · 10th–90th $398$7760%20%10th90th$603$500.0$1.0K

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
$416.87
Median
$446.68
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
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
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$398.11
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$398.11
Typical High
$602.56