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Shoulder Disarticulation Prosthesis, Myoelectric Control

Wisconsin 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 July 2026.

Facilitymedian $18,621 · 10th–90th $14,125$33,8840%20%40%10th90th$18,621Professionalmedian $17,378 · 10th–90th $9,120$30,9030%20%10th90th$17,378$20.0$100.0$500.0$2.0K$10.0K$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
$9,120.11
Median
$9,120.11
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$17,378.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$30,199.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$17,378.01
Typical High
$20,417.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$42,657.95
Typical High
$93,325.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$26,915.35
Typical High
$34,673.69
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$14,791.08
Typical High
$22,908.68
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$17,782.79
Typical High
$21,877.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$18,197.01
Typical High
$87,096.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$12,022.64
Typical High
$20,417.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$12,302.69
Network Health
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$29,512.09
Typical High
$29,512.09
Network Health
Setting
Professional
Modifier
Global
Typical Low
$13,182.57
Median
$20,892.96
Typical High
$36,307.81
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$14,791.08
Typical High
$22,908.68
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$17,782.79
Typical High
$18,197.01
Quartz
Setting
Professional
Modifier
Global
Typical Low
$18,620.87
Median
$27,542.29
Typical High
$51,286.14
Quartz
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$37,153.52
Typical High
$89,125.09
Quartz
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$27,542.29
Typical High
$114,815.36
United
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$12,882.50
Typical High
$18,620.87
United
Setting
Professional
Modifier
Global
Typical Low
$6,760.83
Median
$9,549.93
Typical High
$17,378.01