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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 July 2026.

Facilitymedian $813 · 10th–90th $417$4,1690%20%10th90th$813Professionalmedian $417 · 10th–90th $295$8130%20%10th90th$417$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$416.87
Median
$416.87
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$416.87
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,548.82
Typical High
$5,495.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$812.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$933.25
Typical High
$1,174.90
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$660.69
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$398.11
Typical High
$660.69