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Milwaukee Type Superstructure for TLSO (Low Profile)

North Carolina rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $562 · 10th–90th $288$1,2590%10%20%10th90th$562Professionalmedian $490 · 10th–90th $295$5620%20%40%10th90th$490$1.0$10.0$100.0$1.0K$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
$562.34
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$954.99
Typical High
$1,288.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$398.11
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$426.58
Medcost
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$323.59
Typical High
$478.63
Medcost
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$562.34
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$489.78
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$478.63
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$6,456.54