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Replacement Pretibial Shell

Indiana rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

Facilitymedian $589 · 10th–90th $288$6610%20%40%10th90th$589Professionalmedian $309 · 10th–90th $269$5130%20%40%10th90th$309$0.5$2.0$10.0$50.0$200.0$1.0K

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
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$295.12
Typical High
$512.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$588.84
Typical High
$741.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$338.84
Typical High
$588.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$851.14
Typical High
$977.24
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
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$371.54
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$288.40
Typical High
$426.58