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Milwaukee Type Superstructure for TLSO (Low Profile)

Georgia rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $661 · 10th–90th $302$2,3990%20%10th90th$661Professionalmedian $398 · 10th–90th $302$6310%20%10th90th$398$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
$302.00
Median
$302.00
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$371.54
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,548.82
Typical High
$2,398.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$851.14
CareSource
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
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
$891.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$660.69
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$316.23
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$630.96