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Hip Orthosis, Von Rosen Type, Custom Fabricated

South Dakota 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?

$182

Typical negotiated rate. In South Dakota, July 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 $195 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 7 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$182$132 to $257
FacilityA hospital or hospital-owned outpatient department$195$148 to $234

How much rates vary

Facilitymedian $195 · 10th to 90th $132 to $302Professionalmedian $182 · 10th to 90th $132 to $372
$100.0$200.0$500.0$1.0Kfacility $195professional $182

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. 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
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$138.04
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$218.78
Typical High
$354.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$138.04
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$229.09
Midlands
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$338.84
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$190.55
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$112.20
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$144.54
Typical High
$302.00
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93

Where South Dakota 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.

South Dakota $182 · 6th 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.