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Wrist Disarticulation Prosthesis, Myoelectric Control

North Carolina 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 $7,943 · 10th–90th $4,786$18,1970%20%10th90th$7,943Professionalmedian $7,943 · 10th–90th $4,571$8,3180%50%10th90th$7,943$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
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$7,943.28
Typical High
$7,943.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$15,848.93
Typical High
$21,379.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$9,120.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
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
$8,709.64
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,677.35
Typical High
$6,760.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$8,511.38
Typical High
$15,135.61
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$7,244.36
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$5,370.32
Typical High
$7,413.10
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$48,977.88
Typical High
$48,977.88
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$69,183.10