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Replacement Pretibial Shell

Arizona rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

Facilitymedian $631 · 10th–90th $200$1,4450%10%10th90th$631Professionalmedian $324 · 10th–90th $251$7760%20%40%10th90th$324$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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