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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 October 2026.

How much does Milwaukee Type Superstructure for TLSO (Low Profile) cost?

$389

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $389 for this service. Most negotiated rates run $295 to $479.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $295 · 10th to 90th $295 to $427Professionalmedian $389 · 10th to 90th $295 to $692
$200$500$1Kfacility $295professional $389

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$147.91
Median
$147.91
Typical High
$199.53
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$58.88
Median
$58.88
Typical High
$79.43
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$44.67
Median
$44.67
Typical High
$58.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$29.51
Median
$29.51
Typical High
$39.81
CareFirst
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$501.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$426.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$630.96
Typical High
$1,445.44
United
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$389.05
Typical High
$776.25

Where Washington, DC sits

The same service costs 3.0 times more in Montana than in Florida. 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.

Washington, DC· 33rd of 51

$389

MT $871FL $295

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.