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Replacement Pretibial Shell

Tennessee rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

Facilitymedian $479 · 10th–90th $275$3,6310%20%10th90th$479Professionalmedian $302 · 10th–90th $275$5500%50%10th90th$302$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$323.59
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$302.00
Typical High
$549.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$371.54
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,168.69
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$407.38