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Replacement Pretibial Shell

Alaska rates for HCPCS L4130

Replace pretibial shell

Rates data updated October 2026.

How much does Replacement Pretibial Shell cost?

$724

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $646 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$724$589 to $724
FacilityA hospital or hospital-owned outpatient department$646$372 to $724

How much rates vary

Facilitymedian $646 · 10th to 90th $372 to $759Professionalmedian $724 · 10th to 90th $339 to $871
$100$200$500$1K$2Kfacility $646professional $724

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
Facility
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$645.65
Typical High
$645.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$398.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$870.96
Moda Health
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$724.44
Typical High
$912.01
Moda Health
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$724.44
Typical High
$758.58
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$758.58
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$724.44
Typical High
$741.31
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$645.65
Median
$724.44
Typical High
$724.44
Providence
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$371.54
Typical High
$912.01
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$371.54
Typical High
$870.96
United
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$416.87
Typical High
$1,548.82

Where Alaska sits

The same service costs 3.0 times more in Hawaii than in Vermont. 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.

Alaska· 2nd of 51

$724

HI $813VT $275

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.