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Terminal Device Glove, Prefabricated

Nationwide rates for HCPCS L6890

Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment

Rates data updated July 2026.

Facilitymedian $170 · 10th–90th $98$5370%20%10th90th$170Professionalmedian $126 · 10th–90th $91$2690%20%40%10th90th$126$0.2$2.0$20.0$200.0$2.0K$20.0K$200.0K

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
$89.13
Median
$120.23
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$117.49
Typical High
$204.17
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$128.82
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$128.82
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$169.82
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$223.87