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Replacement Pretibial Shell

Minnesota rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

How much does Replacement Pretibial Shell cost?

$575

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $1,000 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 6 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$575$468 to $575
FacilityA hospital or hospital-owned outpatient department$1,000$575 to $2,188

How much rates vary

Facilitymedian $1,000 · 10th to 90th $490 to $4,677Professionalmedian $575 · 10th to 90th $380 to $676
$200$500$1K$2K$5Kfacility $1,000professional $575

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
$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

Where Minnesota sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Minnesota· 7th of 51

$575

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.