go back

Milwaukee Type Superstructure for TLSO (Low Profile)

New Jersey rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $288 · 10th–90th $288$8710%50%90th$288Professionalmedian $372 · 10th–90th $263$8510%10%10th90th$372$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
$288.40
Median
$288.40
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,148.15
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$851.14