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Replacement Pretibial Shell

Arizona rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

How much does Replacement Pretibial Shell cost?

$339

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $631 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 5 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$324$275 to $398
FacilityA hospital or hospital-owned outpatient department$631$295 to $1,000

How much rates vary

Facilitymedian $631 · 10th to 90th $200 to $1,445Professionalmedian $324 · 10th to 90th $251 to $776
$1.0$10.0$100.0$1.0Kfacility $631professional $324

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
$257.04
Median
$338.84
Typical High
$501.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$831.76
Typical High
$1,621.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$776.25
Typical High
$1,548.82
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
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$501.19
Typical High
$2,951.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$281.84
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$602.56
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$281.84
Typical High
$416.87

Where Arizona 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.

Arizona $339 · 24th 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.