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Milwaukee Type Superstructure for TLSO (Low Profile)

Massachusetts rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $437 · 10th–90th $316$2,2390%20%10th90th$437Professionalmedian $603 · 10th–90th $316$9550%20%10th90th$603$1.0$10.0$100.0$1.0K$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
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$338.84
Typical High
$1,096.48
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$741.31
Typical High
$3,467.37
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$562.34
Typical High
$870.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$416.87
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$501.19
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$954.99
Health New England
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$741.31
Typical High
$3,467.37
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$562.34
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$602.56
Typical High
$676.08