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Hip Orthosis, Von Rosen Type, Custom Fabricated

Pennsylvania 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?

$93.33

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 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 8 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$93.33$87.10 to $132
FacilityA hospital or hospital-owned outpatient department$257$79.43 to $347

How much rates vary

Facilitymedian $257 · 10th to 90th $79 to $933Professionalmedian $93 · 10th to 90th $78 to $178
$1.0$10.0$100.0$1.0K$10.0Kfacility $257professional $93

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
$79.43
Median
$79.43
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$91.20
Typical High
$173.78
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
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
$120.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$371.54
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$134.90
Typical High
$194.98
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$302.00
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$93.33
Typical High
$177.83
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$691.83
Typical High
$1,096.48
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$181.97
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$194.98

Where Pennsylvania 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.

Pennsylvania $93.33 · 45th 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.