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Wrist Disarticulation Prosthesis, Myoelectric Control

New Jersey 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 $3,467 · 10th–90th $3,388$9,3330%50%10th90th$3,467Professionalmedian $5,248 · 10th–90th $3,631$9,3330%20%10th90th$5,248$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
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,570.88
Typical High
$7,762.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$7,244.36
Typical High
$9,332.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$7,244.36
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$8,912.51
Typical High
$12,302.69
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$9,332.54
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$7,079.46
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$5,623.41
Typical High
$9,120.11