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Milwaukee Type Superstructure for TLSO (Low Profile)

Vermont rates for HCPCS L1230

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

Rates data updated July 2026.

Facilitymedian $363 · 10th–90th $240$3980%20%10th90th$363Professionalmedian $398 · 10th–90th $355$5370%20%40%10th90th$398$200.0$500.0$1.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$537.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$316.23
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$489.78
Typical High
$1,445.44