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Hand Restoration, Replacement Glove

Alaska rates for HCPCS L6915

Hand restoration (shading and measurements included), replacement glove for above

Rates data updated July 2026.

Facilitymedian $490 · 10th–90th $240$9770%20%40%10th90th$490Professionalmedian $676 · 10th–90th $372$1,3800%10%20%10th90th$676$100.0$200.0$500.0$1.0K$2.0K

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
Professional
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$1,174.90
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$660.69
Typical High
$977.24
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$2,691.53
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$1,023.29
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$977.24
Typical High
$1,023.29
Providence
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$977.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$645.65
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$562.34
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$501.19
Typical High
$1,819.70