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Replacement Pretibial Shell

Oklahoma rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

Facilitymedian $324 · 10th–90th $295$7940%20%40%10th90th$324Professionalmedian $309 · 10th–90th $234$4270%20%40%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
$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