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Replacement Pretibial Shell

Vermont rates for HCPCS L4130

Replace pretibial shell

Rates data updated October 2026.

How much does Replacement Pretibial Shell cost?

$275

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $275 for this service. Most negotiated rates run $275 to $398.

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 $372 · 10th to 90th $269 to $407Professionalmedian $275 · 10th to 90th $275 to $468
$200$500$1K$2Kfacility $372professional $275

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$275.42
Median
$275.42
Typical High
$354.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$407.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$371.54
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$436.52
Typical High
$549.54
United
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$371.54
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$416.87
Typical High
$1,122.02

Where Vermont sits

The same service costs 3.0 times more in Hawaii than in Vermont. 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· 51st of 51

$275

HI $813VT $275

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.