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Hip Orthosis, Von Rosen Type, Custom Fabricated

Iowa 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?

$138

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $135 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 7 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$135$105 to $182
FacilityA hospital or hospital-owned outpatient department$178$132 to $302

How much rates vary

Facilitymedian $178 · 10th to 90th $93 to $537Professionalmedian $135 · 10th to 90th $79 to $269
$1.0$10.0$100.0$1.0Kfacility $178professional $135

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
Facility
Modifier
Global
Typical Low
$89.13
Median
$138.04
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$131.83
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$295.12
Typical High
$371.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$218.78
Typical High
$257.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$257.04
Typical High
$977.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$346.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$245.47
Typical High
$295.12
Midlands
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$346.74
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$158.49
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$104.71
Typical High
$251.19
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$208.93

Where Iowa 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.

Iowa $138 · 19th 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.