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Milwaukee Type Superstructure for TLSO (Low Profile)

Iowa rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $617 · 10th–90th $316$1,6980%10%10th90th$617Professionalmedian $437 · 10th–90th $295$9330%20%10th90th$437$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
$562.34
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$416.87
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$933.25
Typical High
$1,174.90
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$912.01
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$831.76
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$1,071.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$741.31
Typical High
$1,000.00
Midlands
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,071.52
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$537.03
Typical High
$1,380.38
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$346.74
Typical High
$776.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$645.65
Typical High
$645.65