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Wrist Disarticulation Prosthesis, Myoelectric Control

Missouri 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 $8,128 · 10th–90th $4,677$19,0550%20%10th90th$8,128Professionalmedian $5,623 · 10th–90th $4,571$12,0230%20%40%10th90th$5,623$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
$4,570.88
Median
$6,760.83
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$6,760.83
Typical High
$44,668.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$35,481.34
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,623.41
Typical High
$9,332.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$10,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$10,232.93
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
$5,128.61
Median
$7,943.28
Typical High
$22,387.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$5,248.07
Typical High
$52,480.75
United
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$8,128.31
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,897.79
Typical High
$7,244.36