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Wrist Disarticulation Prosthesis, Myoelectric Control

Nationwide rates for HCPCS L6925

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device

Rates data updated July 2026.

Facilitymedian $7,762 · 10th–90th $4,365$23,9880%10%10th90th$7,762Professionalmedian $5,623 · 10th–90th $4,365$11,7490%20%10th90th$5,623$10.0$100.0$1.0K$10.0K$100.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,370.32
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$5,370.32
Typical High
$9,120.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$5,754.40
Typical High
$20,892.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,623.41
Typical High
$12,589.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$40,738.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$15,488.17
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$7,079.46
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,370.32
Typical High
$9,332.54