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Replacement Pretibial Shell

Arkansas rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

How much does Replacement Pretibial Shell cost?

$339

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $380,189 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 4 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$302$275 to $363
FacilityA hospital or hospital-owned outpatient department$380,189$759 to $758,578

How much rates vary

Facilitymedian $380,189 · 10th to 90th $363 to $891,251Professionalmedian $302 · 10th to 90th $186 to $372
$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0Mfacility $380,189professional $302

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
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$338.84
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$363.08
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$295.12
Typical High
$426.58

Where Arkansas 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.

Arkansas $339 · 31st 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.