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Hip Orthosis, Von Rosen Type, Custom Fabricated

Mississippi rates for HCPCS L1630

Hip orthosis (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated

Rates data updated October 2026.

How much does Hip Orthosis, Von Rosen Type, Custom Fabricated cost?

$120

Typical negotiated rate. In Mississippi, October 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $151 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$115$89.13 to $151
FacilityA hospital or hospital-owned outpatient department$151$120 to $151

How much rates vary

Facilitymedian $151 · 10th to 90th $115 to $151Professionalmedian $115 · 10th to 90th $85 to $155
$100$200facility $151professional $115

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$177.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$147.91
Typical High
$177.83
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$54.95
Median
$74.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.39
Median
$29.51
Typical High
$35.48
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$16.60
Median
$22.39
Typical High
$26.30
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.96
Median
$14.79
Typical High
$17.78
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
BCBS Mississippi
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$120.23
United
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$104.71
Typical High
$309.03
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$91.20
Typical High
$128.82

Where Mississippi sits

The same service costs 2.8 times more in Wisconsin than in Delaware. 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.

Mississippi· 27th of 51

$120

WI $240DE $87.10

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.