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Replacement Pretibial Shell

New Jersey rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

Facilitymedian $209 · 10th–90th $191$5750%20%40%10th90th$209Professionalmedian $309 · 10th–90th $219$5620%10%10th90th$309$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
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$371.54
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$371.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$537.03
Typical High
$741.31
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$562.34