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Shoulder Disarticulation Prosthesis, Switch Control

New Jersey rates for HCPCS L6960

Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device

Rates data updated July 2026.

How much does Shoulder Disarticulation Prosthesis, Switch Control cost?

$7,413

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $7,413 for this service. The price depends on where it is billed: about $7,413 from a physician practice, and about $5,495 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7,413$6,761 to $11,749
FacilityA hospital or hospital-owned outpatient department$5,495$5,370 to $10,965

How much rates vary

Facilitymedian $5,495 · 10th to 90th $5,370 to $14,791Professionalmedian $7,413 · 10th to 90th $5,623 to $14,454
$5K$10K$20K$50Kfacility $5,495professional $7,413

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$6,918.31
Typical High
$11,748.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$10,000.00
Typical High
$14,791.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$10,000.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$14,125.38
Typical High
$19,498.45
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$14,454.40
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$11,220.18
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$8,912.51
Typical High
$14,125.38

Where New Jersey sits

The same service costs 2.7 times more in Kansas than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 48th of 51

$7,413

KS $18,197NE $6,761

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.