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Wrist Disarticulation Prosthesis, Myoelectric Control

New Hampshire 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 $10,965 · 10th–90th $6,026$13,1830%20%10th90th$10,965Professionalmedian $7,244 · 10th–90th $4,677$9,3330%20%10th90th$7,244$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
$6,025.60
Median
$6,025.60
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$6,025.60
Typical High
$7,244.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$11,481.54
Typical High
$13,182.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$7,244.36
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$17,378.01
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$6,309.57
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$7,079.46
Typical High
$9,332.54
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$15,135.61