go back

Hand Restoration, Replacement Glove

Arizona rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $794 · 10th–90th $240$1,9500%10%10th90th$794Professionalmedian $447 · 10th–90th $324$9770%20%10th90th$447$1.0$5.0$20.0$100.0$500.0$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
$323.59
Median
$446.68
Typical High
$954.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$1,000.00
Typical High
$1,949.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$933.25
Typical High
$1,862.09
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
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$645.65
Typical High
$4,073.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$794.33
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$562.34