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Hand Restoration, Replacement Glove

California rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $437 · 10th–90th $347$1,9950%20%10th90th$437Professionalmedian $468 · 10th–90th $347$4,1690%20%10th90th$468$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
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$4,168.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$1,949.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$1,148.15
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,548.82
Typical High
$2,398.83
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$933.25
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$645.65
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$1,174.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$891.25
Typical High
$1,548.82
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,623.41
Typical High
$5,623.41
Molina
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$812.83
Typical High
$1,174.90
Providence
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$851.14
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$501.19
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$446.68
Typical High
$1,023.29