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Replacement Pretibial Shell

Alaska rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

How much does Replacement Pretibial Shell cost?

$372

Typical negotiated rate. In Alaska, July 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 $339 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 6 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$372$331 to $724
FacilityA hospital or hospital-owned outpatient department$339$182 to $724

How much rates vary

Facilitymedian $339 · 10th to 90th $182 to $724Professionalmedian $372 · 10th to 90th $288 to $1,023
$100.0$200.0$500.0$1.0K$2.0Kfacility $339professional $372

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
Professional
Modifier
Global
Typical Low
$288.40
Median
$338.84
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$870.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$501.19
Typical High
$724.44
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$758.58
Typical High
$2,290.87
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$724.44
Typical High
$758.58
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$758.58
Providence
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$758.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$371.54
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$426.58
Typical High
$1,862.09

Where Alaska sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alaska $372 · 17th of 51
HI $813DC $234

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.