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Replacement Pretibial Shell

North Dakota rates for HCPCS L4130

Replace pretibial shell

Rates data updated October 2026.

How much does Replacement Pretibial Shell cost?

$617

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $468 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$617$468 to $724
FacilityA hospital or hospital-owned outpatient department$468$468 to $468

How much rates vary

Facilitymedian $468 · 10th to 90th $372 to $1,413Professionalmedian $617 · 10th to 90th $282 to $724
$200$500$1K$2Kfacility $468professional $617

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$467.74
Typical High
$467.74
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$724.44
Typical High
$724.44
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$645.65
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$676.08
Typical High
$831.76
Medica
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$467.74
Typical High
$2,951.21
Medica
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$309.03
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$309.03
Typical High
$512.86

Where North Dakota 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.

North Dakota· 7th of 51

$617

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.