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SEWHO, Shoulder Cap, with Joints, Custom Fabricated

Arkansas rates for HCPCS L3971

Shoulder-elbow-wrist-hand orthotic (SEWHO), shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Rates data updated October 2026.

How much does SEWHO, Shoulder Cap, with Joints, Custom Fabricated cost?

$1,778

Typical negotiated rate. In Arkansas, October 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $1,778 from a physician practice, and about $1,349 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,778$1,047 to $2,399
FacilityA hospital or hospital-owned outpatient department$1,349$1,349 to $2,138

How much rates vary

Facilitymedian $1,349 · 10th to 90th $1,148 to $2,512Professionalmedian $1,778 · 10th to 90th $933 to $2,399
$500$1K$2Kfacility $1,349professional $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
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,148.15
Typical High
$1,148.15
BCBS Arkansas
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,995.26
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$977.24
Typical High
$1,348.96
United
Setting
Facility
Modifier
None
Typical Low
$2,137.96
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$954.99
Typical High
$1,412.54

Where Arkansas sits

The same service costs 2.2 times more in Montana than in Delaware. 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.

Arkansas· 12th of 51

$1,778

MT $2,188DE $977

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.