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Replacement Pretibial Shell

North Dakota rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

Facilitymedian $468 · 10th–90th $398$8910%20%40%10th90th$468Professionalmedian $603 · 10th–90th $339$7760%20%10th90th$603$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
$398.11
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$2,884.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$676.08
Typical High
$831.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$602.56
Typical High
$2,951.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$398.11
Typical High
$676.08