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Additional Cast Change, Above-Knee or Knee Disarticulation

South Dakota 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?

$603

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $851 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$603$457 to $759
FacilityA hospital or hospital-owned outpatient department$851$603 to $1,000

How much rates vary

Facilitymedian $851 · 10th to 90th $490 to $1,622Professionalmedian $603 · 10th to 90th $302 to $794
$500$1K$2Kfacility $851professional $603

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
$436.52
Median
$436.52
Typical High
$436.52
Aetna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$588.84
Typical High
$588.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$812.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$794.33
Typical High
$954.99
Medica
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$1,000.00
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$457.09
Typical High
$3,981.07
Midlands
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Midlands
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Midlands
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$1,071.52
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$602.56
Typical High
$707.95
United
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$398.11
Typical High
$501.19
Wellmark
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44

Where South Dakota 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.

South Dakota· 7th of 51

$603

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.