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Replacement Pretibial Shell

Kentucky rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

Facilitymedian $347 · 10th–90th $251$9120%20%40%10th90th$347Professionalmedian $324 · 10th–90th $275$4070%20%40%10th90th$324$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
$338.84
Median
$338.84
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$309.03
Typical High
$389.05
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$676.08
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$323.59
Typical High
$338.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$891.25
Typical High
$1,148.15
CareSource
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$812.83
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$524.81
Typical High
$3,090.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$426.58