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Wrist Disarticulation Prosthesis, Myoelectric Control

Rhode Island 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 $17,783 · 10th–90th $6,166$24,5470%10%20%10th90th$17,783Professionalmedian $5,623 · 10th–90th $4,677$7,0790%10%20%10th90th$5,623$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,128.61
Typical High
$6,309.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$21,379.62
Typical High
$24,547.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,623.41
Typical High
$9,332.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
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
$4,786.30
Median
$6,025.60
Typical High
$8,912.51