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Wrist Disarticulation Prosthesis, Myoelectric Control

New Mexico 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 $6,918 · 10th–90th $2,951$10,9650%10%10th90th$6,918Professionalmedian $5,495 · 10th–90th $4,571$15,8490%20%10th90th$5,495$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
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$5,495.41
Typical High
$44,668.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$15,848.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$9,332.54
Typical High
$13,803.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,918.31
Typical High
$10,964.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$10,715.19
United
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$7,079.46
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,570.88
Typical High
$7,079.46