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Wrist Disarticulation Prosthesis, Myoelectric Control

Massachusetts 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 $13,183 · 10th–90th $4,677$18,6210%20%10th90th$13,183Professionalmedian $9,120 · 10th–90th $4,677$14,1250%20%40%10th90th$9,120$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
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,128.61
Typical High
$14,791.08
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,964.78
Typical High
$48,977.88
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$8,317.64
Typical High
$12,882.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$13,803.84
Typical High
$18,620.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$7,244.36
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$7,413.10
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$14,125.38
Health New England
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,964.78
Typical High
$48,977.88
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$8,317.64
Typical High
$12,882.50
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,918.31
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$8,709.64
Typical High
$9,332.54