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Hip Orthosis, Von Rosen Type, Custom Fabricated

Montana 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?

$182

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $186 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$148$85.11 to $186
FacilityA hospital or hospital-owned outpatient department$186$158 to $200

How much rates vary

Facilitymedian $186 · 10th to 90th $126 to $234Professionalmedian $148 · 10th to 90th $62 to $363
$100.0$200.0$500.0$1.0Kfacility $186professional $148

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
Professional
Modifier
Global
Typical Low
$61.66
Median
$131.83
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$199.53
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$186.21
Typical High
$363.08
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$186.21
Typical High
$363.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$177.83
Typical High
$229.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$95.50
Typical High
$144.54

Where Montana 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.

Montana $182 · 7th 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.