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Wrist Disarticulation Prosthesis, Myoelectric Control

Arizona 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 $8,318 · 10th–90th $2,951$20,4170%10%10th90th$8,318Professionalmedian $5,370 · 10th–90th $3,981$10,4710%20%10th90th$5,370$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$3,981.07
Median
$5,495.41
Typical High
$9,332.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$10,715.19
Typical High
$20,417.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$10,000.00
Typical High
$19,952.62
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
$7,244.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$7,244.36
Typical High
$47,863.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,570.88
Typical High
$52,480.75
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$8,317.64
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,570.88
Typical High
$6,918.31