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Milwaukee Type Superstructure for TLSO (Low Profile)

Montana rates for HCPCS L1230

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

Rates data updated October 2026.

How much does Milwaukee Type Superstructure for TLSO (Low Profile) cost?

$871

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $891 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$692$316 to $891
FacilityA hospital or hospital-owned outpatient department$891$871 to $48,978

How much rates vary

Facilitymedian $891 · 10th to 90th $562 to $50,119Professionalmedian $692 · 10th to 90th $79 to $955
$100$500$2K$10K$50Kfacility $891professional $692

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$416.87
Typical High
$741.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$891.25
Typical High
$891.25
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$1,096.48
Typical High
$51,286.14
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$954.99
Typical High
$52,480.75
Providence
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$891.25
Typical High
$891.25
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$676.08
Typical High
$891.25
United
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$316.23
Typical High
$537.03

Where Montana sits

The same service costs 3.0 times more in Montana than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 1st of 51

$871

MT $871FL $295

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.