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Shoulder Disarticulation Prosthesis, Myoelectric Control

Vermont rates for HCPCS L6965

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

Rates data updated October 2026.

How much does Shoulder Disarticulation Prosthesis, Myoelectric Control cost?

$9,120

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $9,120 for this service. Most negotiated rates run $8,511 to $12,882.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $11,749 · 10th to 90th $7,586 to $13,804Professionalmedian $9,120 · 10th to 90th $8,511 to $15,488
$10K$20K$50Kfacility $11,749professional $9,120

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$10,715.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$11,748.98
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$18,197.01
United
Setting
Facility
Modifier
None
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$8,912.51
United
Setting
Professional
Modifier
None
Typical Low
$6,760.83
Median
$14,125.38
Typical High
$38,018.94

Where Vermont sits

The same service costs 2.6 times more in Montana than in New Jersey. 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.

Vermont· 46th of 51

$9,120

MT $21,878NJ $8,511

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.