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Milwaukee Type Superstructure for TLSO (Low Profile)

Kansas rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $501 · 10th–90th $204$6610%50%10th90th$501Professionalmedian $575 · 10th–90th $302$5750%50%10th$575$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
$501.19
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$371.54
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$524.81
Typical High
$562.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
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
$933.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$457.09
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$524.81
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$489.78