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Replacement Pretibial Shell

Maryland rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

How much does Replacement Pretibial Shell cost?

$282

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $282 for this service. Most negotiated rates run $234 to $324.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $324 · 10th to 90th $209 to $575Professionalmedian $282 · 10th to 90th $234 to $490
$200.0$500.0$1.0K$2.0Kfacility $324professional $282

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
Professional
Modifier
Global
Typical Low
$234.42
Median
$245.47
Typical High
$467.74
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$398.11
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
$371.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$575.44
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$295.12
Typical High
$457.09
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$489.78

Where Maryland 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.

Maryland $282 · 47th 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.