SEWHO, Airplane, Thoracic Support Bar, without Joints
Vermont rates for HCPCS L3967
Shoulder-elbow-wrist-hand orthosis (SEWHO), abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
Rates data updated October 2026.
How much does SEWHO, Airplane, Thoracic Support Bar, without Joints cost?
$1,122
Typical negotiated rate. In Vermont, October 2026.
Insurers have agreed to pay about $1,122 for this service. Most negotiated rates run $1,047 to $1,585.
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 4 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $1,549 · 10th to 90th $1,549 to $1,660Professionalmedian $1,122 · 10th to 90th $1,047 to $1,778
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,348.96
Professional
None
$1,047.13
$1,047.13
$1,348.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,659.59
Facility
None
$1,548.82
$1,548.82
$1,659.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Professional
None
$1,122.02
$1,122.02
$1,122.02
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,089.30
Professional
None
$1,659.59
$1,659.59
$2,089.30
United
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,584.89
Typical High
$4,265.80
Professional
None
$870.96
$1,584.89
$4,265.80
Where Vermont sits
The same service costs 2.0 times more in Hawaii than in Tennessee. 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.