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Replacement Pretibial Shell

West Virginia rates for HCPCS L4130

Replace pretibial shell

Rates data updated July 2026.

Facilitymedian $295 · 10th–90th $295$8910%50%90th$295Professionalmedian $282 · 10th–90th $234$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
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$281.84
Typical High
$295.12
CareSource
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$891.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$323.59
Typical High
$478.63