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Replacement Pretibial Shell

Mississippi rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

Facilitymedian $513 · 10th–90th $275$7590%20%40%10th90th$513Professionalmedian $363 · 10th–90th $288$6170%10%20%10th90th$363$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$389.05
Median
$389.05
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$389.05
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$537.03
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$309.03
Typical High
$436.52