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Replacement Pretibial Shell

Florida rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

How much does Replacement Pretibial Shell cost?

$324

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $347 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 7 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$282 to $513
FacilityA hospital or hospital-owned outpatient department$347$288 to $1,230

How much rates vary

Facilitymedian $347 · 10th to 90th $282 to $1,230Professionalmedian $324 · 10th to 90th $275 to $575
$1.0$10.0$100.0$1.0Kfacility $347professional $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
Facility
Modifier
Global
Typical Low
$281.84
Median
$316.23
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$323.59
Typical High
$575.44
AvMed
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
AvMed
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$630.96
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$371.54
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$398.11
Typical High
$676.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$309.03
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$416.87
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$676.08

Where Florida 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.

Florida $324 · 34th 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.