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Milwaukee Type Superstructure for TLSO (Low Profile)

New York rates for HCPCS L1230

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

Rates data updated July 2026.

How much does Milwaukee Type Superstructure for TLSO (Low Profile) cost?

$389

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $513 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$389$372 to $562
FacilityA hospital or hospital-owned outpatient department$513$363 to $871

How much rates vary

Facilitymedian $513 · 10th to 90th $331 to $1,318Professionalmedian $389 · 10th to 90th $295 to $1,148
$200$1K$5K$20Kfacility $513professional $389

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$371.54
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,737.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$389.05
Typical High
$1,202.26
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$707.95
Typical High
$707.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$426.58
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,445.44
Typical High
$3,311.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$912.01
Typical High
$1,659.59
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$380.19
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$549.54
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$831.76
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$549.54
Typical High
$1,445.44
Univera
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$512.86
Univera
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$549.54

Where New York sits

The same service costs 2.8 times more in Minnesota than in Nevada. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 26th of 51

$389

MN $813NV $295

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.