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Replacement Pretibial Shell

Florida rates for HCPCS L4130

Replace pretibial shell

Rates data updated October 2026.

How much does Replacement Pretibial Shell cost?

$309

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $676 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$309$275 to $347
FacilityA hospital or hospital-owned outpatient department$676$372 to $1,230

How much rates vary

Facilitymedian $676 · 10th to 90th $372 to $1,230Professionalmedian $309 · 10th to 90th $275 to $676
$200$500$1Kfacility $676professional $309

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$346.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$302.00
Typical High
$346.74
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$134.90
Median
$151.36
Typical High
$173.78
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$54.95
Median
$60.26
Typical High
$69.18
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$40.74
Median
$45.71
Typical High
$52.48
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$27.54
Median
$30.20
Typical High
$34.67
AvMed
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
AvMed
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$630.96
Typical High
$676.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$371.54
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$676.08
Typical High
$676.08
Molina
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$309.03
Typical High
$338.84
United
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$371.54
Typical High
$758.58
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$323.59
Typical High
$398.11
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$676.08

Where Florida sits

The same service costs 3.0 times more in Hawaii than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 41st of 51

$309

HI $813VT $275

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.