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Additional Cast Change, Above-Knee or Knee Disarticulation

New Jersey 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 October 2026.

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

$398

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $427 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$398$309 to $537
FacilityA hospital or hospital-owned outpatient department$427$339 to $427

How much rates vary

Facilitymedian $427 · 10th to 90th $339 to $692Professionalmedian $398 · 10th to 90th $295 to $537
$500$1Kfacility $427professional $398

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
Facility
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$316.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$363.08
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$147.91
Median
$147.91
Typical High
$177.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$58.88
Median
$58.88
Typical High
$72.44
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$44.67
Median
$44.67
Typical High
$53.70
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$29.51
Median
$29.51
Typical High
$36.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$812.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$426.58
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$1,071.52
Typical High
$1,071.52
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
United
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$380.19
Typical High
$691.83
United
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$426.58
Typical High
$794.33

Where New Jersey 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.

New Jersey· 31st of 51

$398

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.