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Milwaukee Type Superstructure for TLSO (Low Profile)

Idaho 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 $331$8710%20%10th90th$617Professionalmedian $457 · 10th–90th $295$7240%20%10th90th$457$1.0$5.0$20.0$100.0$500.0

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
Professional
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$562.34
Typical High
$812.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$616.60
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$549.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$630.96
Typical High
$630.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$724.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$977.24
Select Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$0.51
Median
$346.74
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$316.23
Typical High
$457.09