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Milwaukee Type Superstructure for TLSO (Low Profile)

Florida rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $339 · 10th–90th $275$1,2020%20%10th90th$339Professionalmedian $339 · 10th–90th $263$5620%20%10th90th$339$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
Facility
Modifier
Global
Typical Low
$275.42
Median
$309.03
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$338.84
Typical High
$562.34
AvMed
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$616.60
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$389.05
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$288.40
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$331.13
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$478.63
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$660.69