go back

Wrist Disarticulation Prosthesis, Myoelectric Control

South Carolina 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 $4,786$13,1830%20%10th90th$6,918Professionalmedian $5,370 · 10th–90th $4,169$7,9430%20%10th90th$5,370$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
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,786.30
Typical High
$7,943.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,000.00
Typical High
$10,964.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$10,232.93
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$7,244.36
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$12,589.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$6,165.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$7,762.47
Typical High
$16,595.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,918.31
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,370.32
Typical High
$7,079.46