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Milwaukee Type Superstructure for TLSO (Low Profile)

New Hampshire rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $741 · 10th–90th $407$8910%20%40%10th90th$741Professionalmedian $437 · 10th–90th $355$6310%20%10th90th$437$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
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$407.38
Typical High
$489.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$776.25
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$316.23
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$426.58
Typical High
$630.96
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,023.29