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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.

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

$490

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $562 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$490$355 to $562
FacilityA hospital or hospital-owned outpatient department$562$398 to $724

How much rates vary

Facilitymedian $562 · 10th to 90th $288 to $1,259Professionalmedian $490 · 10th to 90th $295 to $562
$200$500$1K$2Kfacility $562professional $490

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where North Carolina sits

The same service costs 2.8 times more in Minnesota than in Nevada. 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.

North Carolina· 12th of 51

$490

MN $813NV $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.