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Milwaukee Type Superstructure for TLSO (Low Profile)

Illinois 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?

$417

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $1,096 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$417$389 to $676
FacilityA hospital or hospital-owned outpatient department$1,096$912 to $1,862

How much rates vary

Facilitymedian $1,096 · 10th to 90th $398 to $4,677Professionalmedian $417 · 10th to 90th $295 to $977
$200$500$1K$2K$5K$10Kfacility $1,096professional $417

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$812.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$416.87
Typical High
$588.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$190.55
Median
$208.93
Typical High
$295.12
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$77.62
Median
$83.18
Typical High
$117.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$57.54
Median
$61.66
Typical High
$87.10
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$38.90
Median
$41.69
Typical High
$58.88
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$1,348.96
Typical High
$5,495.41
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$616.60
Typical High
$616.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Hally Health
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$812.83
Typical High
$1,174.90
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$676.08
United
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$812.83
Typical High
$1,047.13
United
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$398.11
Typical High
$933.25

Where Illinois 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.

Illinois· 21st of 51

$417

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.