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Milwaukee Type Superstructure for TLSO (Low Profile)

North Dakota rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $617 · 10th–90th $562$1,0230%50%10th90th$617Professionalmedian $794 · 10th–90th $389$1,0470%20%10th90th$794$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
$562.34
Median
$616.60
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$2,570.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$933.25
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$933.25
Typical High
$1,174.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$616.60
Typical High
$1,862.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$338.84
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$489.78
Typical High
$933.25