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Hip Orthosis, Von Rosen Type, Custom Fabricated

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $112 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 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$112$93.33 to $138
FacilityA hospital or hospital-owned outpatient department$195$129 to $195

How much rates vary

Facilitymedian $195 · 10th to 90th $93 to $245Professionalmedian $112 · 10th to 90th $79 to $191
$1.0$10.0$100.0$1.0K$10.0Kfacility $195professional $112

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
$77.62
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$138.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$239.88
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$120.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$275.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$128.82
Typical High
$190.55
Medcost
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$131.83
Typical High
$234.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$114.82
Typical High
$245.47
Sentara
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$562.34
Sentara
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$95.50
Typical High
$151.36

Where Virginia 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.

Virginia $117 · 27th 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.