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Hip Orthosis, Von Rosen Type, Custom Fabricated

Massachusetts 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?

$200

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $148 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 9 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$204$112 to $224
FacilityA hospital or hospital-owned outpatient department$148$112 to $447

How much rates vary

Facilitymedian $148 · 10th to 90th $112 to $1,000Professionalmedian $204 · 10th to 90th $102 to $339
$1.0$10.0$100.0$1.0K$10.0Kfacility $148professional $204

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
$112.20
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$354.81
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$263.03
Typical High
$1,000.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$194.98
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$147.91
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$151.36
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$338.84
Health New England
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$263.03
Typical High
$1,000.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$194.98
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$194.98
Typical High
$223.87

Where Massachusetts 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.

Massachusetts $200 · 4th 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.