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Milwaukee Type Superstructure for TLSO (Low Profile)

Indiana 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 $372$8320%20%40%10th90th$813Professionalmedian $389 · 10th–90th $295$5620%20%10th90th$389$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
$398.11
Median
$398.11
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$524.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$812.83
Typical High
$1,023.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$660.69
CareSource
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$831.76
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$380.19
Typical High
$562.34