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Hand Restoration, Replacement Glove

Idaho rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $794 · 10th–90th $490$1,0960%20%10th90th$794Professionalmedian $617 · 10th–90th $372$9770%20%10th90th$617$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
$371.54
Median
$549.54
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,412.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$977.24
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$645.65
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$645.65
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$724.44
Typical High
$977.24
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$851.14
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$758.58
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$851.14
Typical High
$851.14
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$977.24
Select Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$891.25
Typical High
$1,348.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$0.60
Median
$562.34
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$371.54
Typical High
$575.44