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SEWHFO, Airplane, Thoracic Support Bar, without Joints

Oklahoma rates for HCPCS L3976

Shoulder-elbow-wrist-hand-finger 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 July 2026.

Facilitymedian $891 · 10th–90th $851$2,2390%20%40%10th90th$891Professionalmedian $871 · 10th–90th $692$1,1750%20%10th90th$871$500.0$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$870.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$870.96
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,995.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,174.90
Typical High
$5,754.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$891.25
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,513.56
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$812.83
Typical High
$1,174.90