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Milwaukee Type Superstructure for TLSO (Low Profile)

Oklahoma rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $316 · 10th–90th $288$7410%20%40%10th90th$316Professionalmedian $302 · 10th–90th $269$4570%20%10th90th$302$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
$302.00
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$302.00
Typical High
$389.05
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
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$1,995.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$524.81
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$457.09