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Hip Orthosis, Von Rosen Type, Custom Fabricated

Hawaii 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?

$229

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $229 for this service. Most negotiated rates run $138 to $229.

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.

How much rates vary

Facilitymedian $120 · 10th to 90th $93 to $178Professionalmedian $229 · 10th to 90th $65 to $240
$100.0$200.0$500.0facility $120professional $229

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$208.93
Typical High
$281.84
HMSA
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$239.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$229.09
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$154.88
Typical High
$281.84

Where Hawaii 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.

Hawaii $229 · 3rd 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.