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Replacement Pretibial Shell

Mississippi rates for HCPCS L4130

Replace pretibial shell

Rates data updated October 2026.

How much does Replacement Pretibial Shell cost?

$389

Typical negotiated rate. In Mississippi, October 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $513 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$372$295 to $513
FacilityA hospital or hospital-owned outpatient department$513$389 to $513

How much rates vary

Facilitymedian $513 · 10th to 90th $372 to $513Professionalmedian $372 · 10th to 90th $275 to $525
$200$500$1Kfacility $513professional $372

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$602.56
Aetna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$436.52
Typical High
$602.56
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$186.21
Median
$218.78
Typical High
$302.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$74.13
Median
$87.10
Typical High
$120.23
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$56.23
Median
$66.07
Typical High
$89.13
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$37.15
Median
$43.65
Typical High
$60.26
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
BCBS Mississippi
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$371.54
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$537.03
United
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$371.54
Typical High
$912.01
United
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$309.03
Typical High
$398.11

Where Mississippi sits

The same service costs 3.0 times more in Hawaii than in Vermont. 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.

Mississippi· 20th of 51

$389

HI $813VT $275

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.