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Replacement Pretibial Shell

Oregon rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

Facilitymedian $676 · 10th–90th $562$7410%50%10th90th$676Professionalmedian $550 · 10th–90th $269$8320%10%20%10th90th$550$0.5$5.0$50.0$500.0$5.0K$50.0K

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
Professional
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$501.19
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
$275.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,230.27
Typical High
$1,548.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$758.58
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$602.56
Typical High
$831.76
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$724.44
Typical High
$741.31
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$741.31
Typical High
$741.31
Providence
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$588.84
Typical High
$831.76
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$645.65
Typical High
$794.33
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$2,951.21
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$831.76
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$0.45
Median
$275.42
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$281.84
Typical High
$537.03