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Milwaukee Type Superstructure for TLSO (Low Profile)

Texas rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $479 · 10th–90th $288$1,1750%10%10th90th$479Professionalmedian $302 · 10th–90th $269$4790%50%10th90th$302$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
$295.12
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$309.03
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$660.69
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$1,000.00
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$512.86
Typical High
$891.25
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$363.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$489.78
Typical High
$912.01
Providence
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$524.81
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$457.09
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$660.69
Typical High
$891.25