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Hip Orthosis, Von Rosen Type, Custom Fabricated

New York 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?

$117

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $120 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 9 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$117$95.50 to $162
FacilityA hospital or hospital-owned outpatient department$120$83.18 to $200

How much rates vary

Facilitymedian $120 · 10th to 90th $81 to $295Professionalmedian $117 · 10th to 90th $81 to $288
$1.0$10.0$100.0$1.0K$10.0Kfacility $120professional $117

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
$64.57
Median
$91.20
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$144.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$331.13
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$158.49
Typical High
$158.49
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$128.82
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$741.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$371.54
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$85.11
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$123.03
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$186.21
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$112.20
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$316.23
Univera
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$114.82
Univera
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$123.03

Where New York 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.

New York $117 · 25th 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.