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Replacement Pretibial Shell

Minnesota rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

Facilitymedian $1,000 · 10th–90th $490$4,6770%20%10th90th$1,000Professionalmedian $575 · 10th–90th $380$6760%50%10th90th$575$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$398.11
Median
$398.11
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$389.05
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$575.44
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$575.44
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,187.76
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$758.58
Typical High
$851.14
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,398.83
Typical High
$4,677.35
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$575.44
Typical High
$2,951.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$275.42
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$323.59
Typical High
$812.83