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Additional Cast Change, Above-Knee or Knee Disarticulation

Arkansas rates for HCPCS L5430

Immediate postsurgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, above knee (AK) or knee disarticulation, each additional cast change and realignment

Rates data updated July 2026.

How much does Additional Cast Change, Above-Knee or Knee Disarticulation cost?

$427

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $380,189 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$380$257 to $447
FacilityA hospital or hospital-owned outpatient department$380,189$813 to $758,578

How much rates vary

Facilitymedian $380,189 · 10th to 90th $447 to $891,251Professionalmedian $380 · 10th to 90th $200 to $457
$1K$10K$100K$1Mfacility $380,189professional $380

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$426.58
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$457.09
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$371.54
Typical High
$478.63

Where Arkansas sits

The same service costs 2.7 times more in Hawaii than in Kansas. 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.

Arkansas· 20th of 51

$427

HI $759KS $282

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.