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Wrist Disarticulation Prosthesis, Myoelectric Control

Alaska 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 $5,623 · 10th–90th $2,951$10,4710%20%40%10th90th$5,623Professionalmedian $6,761 · 10th–90th $5,129$14,1250%20%10th90th$6,761$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,495.41
Typical High
$9,120.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$12,022.64
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$7,244.36
Typical High
$10,471.29
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$10,000.00
Median
$10,471.29
Typical High
$30,902.95
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$10,000.00
Typical High
$10,471.29
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$10,000.00
Typical High
$10,471.29
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$10,471.29
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$7,244.36
Typical High
$9,772.37
United
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,918.31
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,128.61
Typical High
$22,387.21