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Replacement Pretibial Shell

Kansas rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

How much does Replacement Pretibial Shell cost?

$513

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $447 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 5 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$513$372 to $513
FacilityA hospital or hospital-owned outpatient department$447$389 to $501

How much rates vary

Facilitymedian $447 · 10th to 90th $182 to $631Professionalmedian $513 · 10th to 90th $295 to $513
$200$500$1K$2Kfacility $447professional $513

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
$478.63
Median
$478.63
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$331.13
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$446.68
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$676.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$426.58
Typical High
$2,951.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$309.03
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$501.19
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$436.52

Where Kansas sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. 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.

Kansas· 10th of 51

$513

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.