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Milwaukee Type Superstructure for TLSO (Low Profile)

Hawaii 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?

$708

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $708 for this service. Most negotiated rates run $479 to $741.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $550 · 10th to 90th $398 to $550Professionalmedian $708 · 10th to 90th $427 to $759
$500facility $550professional $708

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
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
HMSA
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$741.31
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$707.95
Typical High
$912.01
United
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$758.58
Typical High
$758.58
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$426.58

Where Hawaii 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.

Hawaii· 7th of 51

$708

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.