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Wrist Disarticulation Prosthesis, Myoelectric Control

Montana 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 October 2026.

How much does Wrist Disarticulation Prosthesis, Myoelectric Control cost?

$10,965

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $10,965 for this service. The price depends on where it is billed: about $9,772 from a physician practice, and about $10,965 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9,772$4,571 to $10,965
FacilityA hospital or hospital-owned outpatient department$10,965$10,715 to $616,595

How much rates vary

Facilitymedian $10,965 · 10th to 90th $7,762 to $630,957Professionalmedian $9,772 · 10th to 90th $79 to $11,749
$100$1K$10K$100Kfacility $10,965professional $9,772

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$8,511.38
Typical High
$9,120.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,762.47
Median
$10,964.78
Typical High
$10,964.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$8,912.51
Median
$10,964.78
Typical High
$10,964.78
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$8,128.31
Median
$13,489.63
Typical High
$630,957.34
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$10,715.19
Median
$11,748.98
Typical High
$660,693.45
Providence
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$10,964.78
Typical High
$10,964.78
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$8,317.64
Typical High
$10,964.78
United
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$4,570.88
Typical High
$7,762.47

Where Montana sits

The same service costs 2.1 times more in Hawaii than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 2nd of 51

$10,965

HI $11,220NJ $5,248

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.