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Milwaukee Type Superstructure for TLSO (Low Profile)

Michigan rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $871 · 10th–90th $363$3,2360%10%20%10th90th$871Professionalmedian $457 · 10th–90th $339$8130%20%10th90th$457$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
$457.09
Median
$457.09
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$457.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,398.83
Typical High
$4,677.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$812.83
Typical High
$851.14
CareSource
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$794.33
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,513.56
Typical High
$1,698.24
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$645.65
Typical High
$977.24
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$660.69
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$660.69
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$562.34