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Milwaukee Type Superstructure for TLSO (Low Profile)

Utah 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?

$398

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $316 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$437$288 to $776
FacilityA hospital or hospital-owned outpatient department$316$204 to $851

How much rates vary

Facilitymedian $316 · 10th to 90th $204 to $851Professionalmedian $437 · 10th to 90th $204 to $2,884
$200$500$1K$2Kfacility $316professional $437

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$288.40
Typical High
$2,884.03
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
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$616.60
Typical High
$794.33
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$851.14
Typical High
$851.14
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$602.56
Typical High
$758.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$831.76
Typical High
$870.96
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$316.23
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$489.78

Where Utah 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.

Utah· 24th of 51

$398

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.