go back

Wrist Disarticulation Prosthesis, Myoelectric Control

Nebraska 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 $10,000 · 10th–90th $6,166$21,8780%20%10th90th$10,000Professionalmedian $4,074 · 10th–90th $3,631$7,4130%20%40%10th90th$4,074$5.0K$10.0K$20.0K$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
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,073.80
Typical High
$6,309.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8,709.64
Median
$9,549.93
Typical High
$9,772.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$11,220.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$12,589.25
Typical High
$20,892.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$10,964.78
Typical High
$47,863.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$6,165.95
Typical High
$10,232.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$26,915.35
Midlands
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$13,803.84
Median
$24,547.09
Typical High
$26,915.35
United
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$8,511.38
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,754.40
Typical High
$7,762.47