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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 July 2026.

Facilitymedian $10,233 · 10th–90th $7,244$12,8820%20%40%10th90th$10,233Professionalmedian $8,511 · 10th–90th $2,951$19,9530%10%10th90th$8,511$100.0$500.0$2.0K$10.0K$50.0K

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
$2,951.21
Median
$8,511.38
Typical High
$44,668.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$10,964.78
Typical High
$10,964.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$10,964.78
Typical High
$10,964.78
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$10,232.93
Typical High
$19,952.62
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$10,232.93
Typical High
$19,952.62
Providence
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$9,772.37
Typical High
$13,182.57
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$8,317.64
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,918.31
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,570.88
Typical High
$7,079.46