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Milwaukee Type Superstructure for TLSO (Low Profile)

Oregon rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $631 · 10th–90th $490$8320%20%40%10th90th$631Professionalmedian $479 · 10th–90th $295$7240%10%10th90th$479$1.0$10.0$100.0$1.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$288.40
Median
$389.05
Typical High
$562.34
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
$295.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,412.54
Typical High
$1,737.80
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$707.95
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$724.44
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$831.76
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$851.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$549.54
Typical High
$851.14
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$562.34
Typical High
$676.08
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$660.69
Typical High
$2,511.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$0.51
Median
$316.23
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$616.60