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Milwaukee Type Superstructure for TLSO (Low Profile)

Minnesota rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $1,380 · 10th–90th $603$6,6070%20%10th90th$1,380Professionalmedian $813 · 10th–90th $479$9330%50%10th90th$813$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
$562.34
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$478.63
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$812.83
Typical High
$1,174.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,019.95
Typical High
$8,317.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,071.52
Typical High
$1,174.90
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,311.31
Typical High
$6,606.93
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$812.83
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$316.23
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$407.38
Typical High
$1,096.48