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Milwaukee Type Superstructure for TLSO (Low Profile)

New Mexico rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $457 · 10th–90th $204$7760%10%20%10th90th$457Professionalmedian $389 · 10th–90th $269$1,0720%10%10th90th$389$100.0$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
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$645.65
Typical High
$954.99
Providence
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$467.74
Typical High
$758.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$346.74
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$316.23
Typical High
$478.63