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Replacement Pretibial Shell

Vermont rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

How much does Replacement Pretibial Shell cost?

$302

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $302 for this service. Most negotiated rates run $275 to $355.

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.

How much rates vary

Facilitymedian $363 · 10th to 90th $209 to $372Professionalmedian $282 · 10th to 90th $275 to $372
$200$500$1Kfacility $363professional $282

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$371.54
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$275.42
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$416.87
Typical High
$1,122.02

Where Vermont 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.

Vermont· 42nd of 51

$302

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.