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Milwaukee Type Superstructure for TLSO (Low Profile)

Missouri rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $525 · 10th–90th $339$1,0720%20%10th90th$525Professionalmedian $372 · 10th–90th $295$7760%50%10th90th$372$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
$338.84
Median
$338.84
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$363.08
Typical High
$2,884.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$2,290.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$524.81
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$676.08