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Hip Orthosis, Von Rosen Type, Custom Fabricated

Missouri 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?

$120

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $170 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 6 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$117$110 to $145
FacilityA hospital or hospital-owned outpatient department$170$120 to $214

How much rates vary

Facilitymedian $170 · 10th to 90th $110 to $363Professionalmedian $117 · 10th to 90th $87 to $251
$1.0$10.0$100.0$1.0Kfacility $170professional $117

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
$109.65
Median
$109.65
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$912.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$741.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$117.49
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$120.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$169.82
Typical High
$977.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$169.82
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$169.82

Where Missouri 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.

Missouri $120 · 24th 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.