go back

Wrist Disarticulation Prosthesis, Myoelectric Control

Texas 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 $7,586 · 10th–90th $4,074$19,0550%10%20%10th90th$7,586Professionalmedian $5,248 · 10th–90th $4,074$8,1280%20%10th90th$5,248$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$4,073.80
Median
$4,365.16
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$5,128.61
Typical High
$8,128.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$9,549.93
Typical High
$9,549.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$14,791.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$7,244.36
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$48,977.88
Typical High
$48,977.88
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$53,703.18
Median
$69,183.10
Typical High
$69,183.10
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$7,943.28
Typical High
$13,182.57
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$8,912.51
Typical High
$10,471.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$7,079.46
Providence
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$7,413.10
Typical High
$13,489.63
Providence
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$7,585.78
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,623.41
Typical High
$7,079.46
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$9,549.93
Typical High
$12,882.50