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Replacement Pretibial Shell

Massachusetts rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

Facilitymedian $372 · 10th–90th $245$2,9510%10%20%10th90th$372Professionalmedian $490 · 10th–90th $245$7410%20%10th90th$490$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$851.14
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$3,630.78
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$446.68
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$371.54
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$446.68
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$741.31
Health New England
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$3,630.78
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$446.68
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$346.74
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$467.74
Typical High
$524.81