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Hip Orthosis, Von Rosen Type, Custom Fabricated

Indiana 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?

$126

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $257 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$123$107 to $138
FacilityA hospital or hospital-owned outpatient department$257$126 to $257

How much rates vary

Facilitymedian $257 · 10th to 90th $117 to $257Professionalmedian $123 · 10th to 90th $87 to $174
$100$200$500facility $257professional $123

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
$125.89
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$125.89
Typical High
$169.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$257.04
Typical High
$323.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$117.49
Typical High
$208.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$125.89
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$117.49
Typical High
$177.83

Where Indiana sits

The same service costs 3.3 times more in Minnesota than in Washington, DC. 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.

Indiana· 21st of 51

$126

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.