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Additional Cast Change, Above-Knee or Knee Disarticulation

Vermont 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?

$355

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $355 for this service. Most negotiated rates run $309 to $513.

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.

How much rates vary

Facilitymedian $427 · 10th to 90th $339 to $468Professionalmedian $339 · 10th to 90th $309 to $513
$200$500$1Kfacility $427professional $339

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$426.58
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$457.09
Typical High
$1,258.93

Where Vermont 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.

Vermont· 41st of 51

$355

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.