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Milwaukee Type Superstructure for TLSO (Low Profile)

Washington, DC rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $295 · 10th–90th $295$1,0470%50%90th$295Professionalmedian $295 · 10th–90th $295$3890%50%90th$295$200.0$500.0$1.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$346.74
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$501.19
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
$416.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$691.83