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Replacement Pretibial Shell

Hawaii rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

How much does Replacement Pretibial Shell cost?

$813

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $813 for this service. Most negotiated rates run $372 to $813.

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.

How much rates vary

Facilitymedian $363 · 10th to 90th $275 to $631Professionalmedian $813 · 10th to 90th $191 to $851
$200.0$500.0$1.0Kfacility $363professional $813

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$741.31
Typical High
$1,000.00
HMSA
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$851.14
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$812.83
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$281.84
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$1,000.00

Where Hawaii 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.

Hawaii $813 · 1st 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.