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Replacement Pretibial Shell

Louisiana rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

How much does Replacement Pretibial Shell cost?

$363

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $537 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$355$288 to $407
FacilityA hospital or hospital-owned outpatient department$537$372 to $871

How much rates vary

Facilitymedian $537 · 10th to 90th $331 to $1,175Professionalmedian $355 · 10th to 90th $269 to $468
$1.0$10.0$100.0$1.0Kfacility $537professional $355

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
$371.54
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$354.81
Typical High
$501.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$977.24
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$537.03
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$302.00
Typical High
$416.87

Where Louisiana 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.

Louisiana $363 · 19th 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.