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Milwaukee Type Superstructure for TLSO (Low Profile)

West Virginia rates for HCPCS L1230

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

Rates data updated October 2026.

How much does Milwaukee Type Superstructure for TLSO (Low Profile) cost?

$372

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $398 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$372$339 to $479
FacilityA hospital or hospital-owned outpatient department$398$398 to $417

How much rates vary

Facilitymedian $398 · 10th to 90th $331 to $741Professionalmedian $372 · 10th to 90th $295 to $813
$500$1K$2Kfacility $398professional $372

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$177.83
Median
$186.21
Typical High
$186.21
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$70.79
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$53.70
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$35.48
Median
$37.15
Typical High
$37.15
CareSource
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
CareSource
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$776.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$3,548.13
United
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$331.13
Typical High
$741.31
United
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$407.38
Typical High
$812.83

Where West Virginia sits

The same service costs 3.0 times more in Montana than in Florida. 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.

West Virginia· 36th of 51

$372

MT $871FL $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.