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Milwaukee Type Superstructure for TLSO (Low Profile)

Nebraska rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $661 · 10th–90th $316$1,6220%20%10th90th$661Professionalmedian $331 · 10th–90th $295$5250%20%40%10th90th$331$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
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$331.13
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$616.60
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$870.96
Typical High
$1,348.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$724.44
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$676.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,737.80
Midlands
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,584.89
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$660.69
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$316.23
Typical High
$537.03