go back

Replacement Pretibial Shell

Nebraska rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

How much does Replacement Pretibial Shell cost?

$302

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $631 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$302$302 to $339
FacilityA hospital or hospital-owned outpatient department$631$389 to $692

How much rates vary

Facilitymedian $631 · 10th to 90th $282 to $2,951Professionalmedian $302 · 10th to 90th $219 to $513
$200$500$1K$2Kfacility $631professional $302

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Nebraska sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. 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.

Nebraska· 44th of 51

$302

HI $813DC $234

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.