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Replacement Pretibial Shell

Nevada rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

How much does Replacement Pretibial Shell cost?

$295

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $257 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$295$257 to $398
FacilityA hospital or hospital-owned outpatient department$257$257 to $372

How much rates vary

Facilitymedian $257 · 10th to 90th $257 to $759Professionalmedian $295 · 10th to 90th $234 to $1,023
$5.0$20.0$100.0$500.0$2.0Kfacility $257professional $295

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
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$3,235.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$794.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$489.78
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$758.58
Typical High
$1,288.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Select Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$691.83
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$275.42
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$831.76

Where Nevada sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Nevada $295 · 45th of 51
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.