Milwaukee-style brace superstructure add-on for spinal orthosis

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Milwaukee type superstructur

Payers reporting HCPCS L1230

Payer pricing summary

Low

$177

Average

$897

Median

$810

High

$2.5k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	359	$682	$825	$383	46%	—	$325 – $4.4k
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	356	$666	$713	$176	25%	—	$319 – $2.2k
3	Humana fee schedule · outpatient · +11 other terms	317	$686	$1.0k	$1.0k	103%	—	$417 – $5.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	218	$666	$909	$546	60%	—	$0 – $3.4k
5	WellCare fee schedule · outpatient · +6 other terms	208	$673	$725	$187	26%	—	$640 – $1.7k
6	Devoted fee schedule · outpatient · +2 other terms	165	$653	$681	$65	9%	—	$653 – $888
7	Molina fee schedule · outpatient · +4 other terms	138	$962	$936	$356	38%	—	$442 – $1.7k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$699	$686	$62	9%	—	$653 – $897
9	Cigna fee schedule · outpatient · +10 other terms	102	$731	$821	$278	34%	—	$640 – $2.4k
10	Anthem fee schedule · outpatient · +6 other terms	81	$851	$1.1k	$1.1k	100%	—	$417 – $6.1k
11	Kaiser fee schedule · outpatient · +5 other terms	64	$886	$1.2k	$713	61%	—	$653 – $4.8k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	45	$1.2k	$1.3k	$265	21%	—	$640 – $1.6k
13	Superior Healthplan fee schedule · outpatient	40	$686	$686	$3	0%	—	$640 – $686
14	Clover fee schedule · outpatient · +2 other terms	37	$854	$764	$88	12%	—	$653 – $871
15	Oscar fee schedule · outpatient · +4 other terms	36	$686	$774	$183	24%	—	$640 – $1.2k
16	Optum fee schedule · outpatient · +3 other terms	33	$834	$930	$307	33%	—	$640 – $1.6k
17	Caresource fee schedule · outpatient · +5 other terms	28	$653	$772	$277	36%	—	$417 – $1.3k
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$839	$766	$186	24%	—	$273 – $1.1k
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$903	$818	$142	17%	—	$544 – $920
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$784	$774	$17	2%	—	$745 – $784
21	Bcbs Tx fee schedule · outpatient	18	$640	$640	—	—	—	$640 – $640
22	Medicare fee schedule · outpatient · +3 other terms	18	$834	$837	$6	1%	—	$834 – $851
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$736	$771	$68	9%	—	$640 – $871
24	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$820	$941	$234	25%	—	$446 – $1.3k
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$1.4k	$1.3k	$556	42%	—	$707 – $2.3k

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