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Wrist Disarticulation Prosthesis, Myoelectric Control

Idaho 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 $9,550 · 10th–90th $5,370$12,8820%20%10th90th$9,550Professionalmedian $7,586 · 10th–90th $4,571$11,4820%20%10th90th$7,586$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
$5,248.07
Median
$6,606.93
Typical High
$8,511.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$9,772.37
Typical High
$16,595.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10,964.78
Median
$11,481.54
Typical High
$11,481.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,244.36
Typical High
$7,585.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$7,244.36
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$8,511.38
Typical High
$11,220.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$10,000.00
Typical High
$10,471.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$10,000.00
Typical High
$10,000.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$11,481.54
Select Health
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$10,715.19
Typical High
$15,848.93
Select Health
Setting
Professional
Modifier
Global
Typical Low
$6,760.83
Median
$10,000.00
Typical High
$11,481.54
United
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$6,918.31
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,570.88
Typical High
$7,079.46