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Replacement Pretibial Shell

Nebraska rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

Facilitymedian $631 · 10th–90th $282$2,9510%20%40%10th90th$631Professionalmedian $302 · 10th–90th $219$5130%20%40%10th90th$302$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
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$676.08
Typical High
$1,288.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$676.08
Typical High
$2,951.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$630.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,659.59
Midlands
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,548.82
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$524.81
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$478.63