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Hip Orthosis, Von Rosen Type, Custom Fabricated

Alaska rates for HCPCS L1630

Hip orthosis (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated

Rates data updated October 2026.

How much does Hip Orthosis, Von Rosen Type, Custom Fabricated cost?

$204

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $182 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$204$166 to $204
FacilityA hospital or hospital-owned outpatient department$182$120 to $204

How much rates vary

Facilitymedian $182 · 10th to 90th $120 to $214Professionalmedian $204 · 10th to 90th $105 to $245
$100$200$500facility $182professional $204

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
$177.83
Median
$177.83
Typical High
$177.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$177.83
Typical High
$177.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$128.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$245.47
Moda Health
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$204.17
Typical High
$257.04
Moda Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$204.17
Typical High
$213.80
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$213.80
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$204.17
Typical High
$208.93
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$181.97
Median
$204.17
Typical High
$204.17
Providence
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$120.23
Typical High
$257.04
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$120.23
Typical High
$245.47
United
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$141.25
Typical High
$524.81

Where Alaska sits

The same service costs 2.8 times more in Wisconsin 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.

Alaska· 6th of 51

$204

WI $240DE $87.10

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.