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Milwaukee Type Superstructure for TLSO (Low Profile)

Mississippi rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $501 · 10th–90th $316$8710%20%40%10th90th$501Professionalmedian $380 · 10th–90th $288$6030%10%20%10th90th$380$50.0$100.0$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
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$380.19
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
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
$295.12
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$524.81
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$489.78