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Hip Orthosis, Von Rosen Type, Custom Fabricated

Nebraska 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?

$89.13

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $214 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$89.13$89.13 to $115
FacilityA hospital or hospital-owned outpatient department$214$132 to $234

How much rates vary

Facilitymedian $214 · 10th to 90th $95 to $977Professionalmedian $89 · 10th to 90th $74 to $174
$100.0$200.0$500.0$1.0Kfacility $214professional $89

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
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$89.13
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$204.17
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$281.84
Typical High
$436.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$229.09
Typical High
$977.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$208.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$562.34
Midlands
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$524.81
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$169.82
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$102.33
Typical High
$162.18

Where Nebraska 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.

Nebraska $89.13 · 48th 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.