go back

Hand Restoration, Replacement Glove

Iowa rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $813 · 10th–90th $501$2,0890%20%10th90th$813Professionalmedian $676 · 10th–90th $380$1,1220%20%10th90th$676$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
$371.54
Median
$776.25
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$630.96
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,122.02
Typical High
$1,412.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$851.14
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,202.26
Typical High
$4,073.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$575.44
Typical High
$1,659.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,174.90
Typical High
$1,288.25
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,023.29
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$501.19
Typical High
$977.24
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,000.00