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Milwaukee Type Superstructure for TLSO (Low Profile)

Tennessee rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $501 · 10th–90th $316$3,4670%20%10th90th$501Professionalmedian $316 · 10th–90th $282$5370%20%40%10th90th$316$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
$288.40
Median
$316.23
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$316.23
Typical High
$537.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$6,456.54
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$457.09