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Hip Orthosis, Von Rosen Type, Custom Fabricated

Arizona rates for HCPCS L1630

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

Rates data updated July 2026.

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

$107

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $178 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$102$85.11 to $132
FacilityA hospital or hospital-owned outpatient department$178$91.20 to $282

How much rates vary

Facilitymedian $178 · 10th to 90th $62 to $457Professionalmedian $102 · 10th to 90th $81 to $224
$1.0$10.0$100.0$1.0Kfacility $178professional $102

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$234.42
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$218.78
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$120.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$144.54
Typical High
$977.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$169.82
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$144.54

Where Arizona sits

The same service costs 3.3 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Arizona $107 · 38th of 51
MN $257DC $77.62

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.