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Hip Orthosis, Von Rosen Type, Custom Fabricated

North Dakota 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?

$182

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $138 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$182$138 to $214
FacilityA hospital or hospital-owned outpatient department$138$138 to $178

How much rates vary

Facilitymedian $138 · 10th to 90th $120 to $417Professionalmedian $182 · 10th to 90th $95 to $234
$100$200$500$1Kfacility $138professional $182

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$138.04
Typical High
$177.83
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$213.80
Typical High
$213.80
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$194.98
Median
$257.04
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$295.12
Typical High
$371.54
Medica
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$138.04
Typical High
$977.24
Medica
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$104.71
Typical High
$158.49
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$104.71
Typical High
$158.49

Where North Dakota 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.

North Dakota· 10th of 51

$182

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.