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Replacement Pretibial Shell

Oklahoma rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

How much does Replacement Pretibial Shell cost?

$309

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $324 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 4 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$309$282 to $347
FacilityA hospital or hospital-owned outpatient department$324$309 to $646

How much rates vary

Facilitymedian $324 · 10th to 90th $295 to $794Professionalmedian $309 · 10th to 90th $234 to $427
$200$500$1K$2Kfacility $324professional $309

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
$295.12
Median
$309.03
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$309.03
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$676.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$436.52
Typical High
$2,951.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$309.03
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$537.03
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$398.11

Where Oklahoma 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.

Oklahoma· 41st of 51

$309

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.