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Milwaukee Type Superstructure for TLSO (Low Profile)

Maryland rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $363 · 10th–90th $240$7410%10%10th90th$363Professionalmedian $316 · 10th–90th $295$5620%20%40%10th90th$316$200.0$500.0$1.0K$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
Professional
Modifier
Global
Typical Low
$295.12
Median
$302.00
Typical High
$562.34
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$501.19
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
$398.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$741.31
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$316.23
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$575.44
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$630.96