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Milwaukee Type Superstructure for TLSO (Low Profile)

Nevada rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $229 · 10th–90th $229$6760%50%90th$229Professionalmedian $295 · 10th–90th $229$9550%20%10th90th$295$10.0$50.0$200.0$1.0K

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
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$263.03
Typical High
$2,884.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$398.11
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$512.86
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$676.08
Typical High
$1,148.15
Select Health
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Select Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$616.60
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$316.23
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$457.09
Typical High
$758.58