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Hip Orthosis, Von Rosen Type, Custom Fabricated

New Hampshire 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?

$174

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $257 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$155$117 to $224
FacilityA hospital or hospital-owned outpatient department$257$174 to $275

How much rates vary

Facilitymedian $257 · 10th to 90th $145 to $316Professionalmedian $155 · 10th to 90th $87 to $224
$100$200$500facility $257professional $155

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
$144.54
Median
$144.54
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$173.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$275.42
Typical High
$316.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$120.23
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$100.00
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$144.54
Typical High
$223.87
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$363.08

Where New Hampshire sits

The same service costs 3.3 times more in Minnesota than in Washington, DC. 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.

New Hampshire· 10th of 51

$174

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.