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Replacement Pretibial Shell

Vermont rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

Facilitymedian $363 · 10th–90th $209$3720%50%10th90th$363Professionalmedian $282 · 10th–90th $275$3720%20%40%10th90th$282$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

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