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Replacement Pretibial Shell

New Hampshire rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

How much does Replacement Pretibial Shell cost?

$380

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $575 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$372$316 to $490
FacilityA hospital or hospital-owned outpatient department$575$380 to $603

How much rates vary

Facilitymedian $575 · 10th to 90th $316 to $692Professionalmedian $372 · 10th to 90th $245 to $490
$200$500$1Kfacility $575professional $372

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
$316.23
Median
$316.23
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$380.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$602.56
Typical High
$691.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$371.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$275.42
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$363.08
Typical High
$489.78
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$794.33

Where New Hampshire 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.

New Hampshire· 16th of 51

$380

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.