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Milwaukee Type Superstructure for TLSO (Low Profile)

Rhode Island rates for HCPCS L1230

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

Rates data updated October 2026.

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

$380

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $1,318 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$380$347 to $427
FacilityA hospital or hospital-owned outpatient department$1,318$1,047 to $1,514

How much rates vary

Facilitymedian $1,318 · 10th to 90th $871 to $1,660Professionalmedian $380 · 10th to 90th $282 to $603
$500$1Kfacility $1,318professional $380

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$426.58
Typical High
$426.58
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$190.55
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$75.86
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$56.23
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$38.02
Median
$42.66
Typical High
$42.66
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,445.44
Typical High
$1,659.59
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$380.19
Typical High
$616.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
United
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
United
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$389.05
Typical High
$602.56

Where Rhode Island sits

The same service costs 3.0 times more in Montana than in Florida. 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.

Rhode Island· 34th of 51

$380

MT $871FL $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.