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Milwaukee Type Superstructure for TLSO (Low Profile)

South Dakota 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?

$589

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $692 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 7 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$575$562 to $933
FacilityA hospital or hospital-owned outpatient department$692$575 to $871

How much rates vary

Facilitymedian $692 · 10th to 90th $437 to $1,175Professionalmedian $575 · 10th to 90th $398 to $1,175
$500$1K$2Kfacility $692professional $575

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,174.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$812.83
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$501.19
Typical High
$4,265.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$707.95
Typical High
$707.95
Midlands
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,513.56
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$371.54
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$537.03
Typical High
$933.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65

Where South Dakota 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.

South Dakota· 7th of 51

$589

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.