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Hip Orthosis, Von Rosen Type, Custom Fabricated

Vermont 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?

$123

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $120 to $135.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $120 · 10th to 90th $72 to $126Professionalmedian $123 · 10th to 90th $117 to $145
$100$200$500facility $120professional $123

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
Professional
Modifier
Global
Typical Low
$120.23
Median
$123.03
Typical High
$144.54
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
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$158.49
Typical High
$512.86

Where Vermont 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.

Vermont· 22nd of 51

$123

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.