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Milwaukee Type Superstructure for TLSO (Low Profile)

Ohio rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $813 · 10th–90th $437$1,3490%20%10th90th$813Professionalmedian $437 · 10th–90th $295$8510%20%10th90th$437$1.0$5.0$20.0$100.0$500.0$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
$436.52
Median
$501.19
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$436.52
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$870.96
Typical High
$1,737.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$1,071.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$549.54
Typical High
$776.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$575.44
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$426.58
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$416.87
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$489.78
Typical High
$707.95
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$912.01
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$660.69
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$524.81