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Milwaukee Type Superstructure for TLSO (Low Profile)

Arizona rates for HCPCS L1230

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), Milwaukee type superstructure

Rates data updated July 2026.

Facilitymedian $550 · 10th–90th $195$1,3490%10%10th90th$550Professionalmedian $347 · 10th–90th $263$6610%20%10th90th$347$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$478.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$691.83
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$478.63
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$316.23
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$549.54
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$478.63