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Hand Restoration, Replacement Glove

Illinois rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $1,000 · 10th–90th $490$5,0120%20%10th90th$1,000Professionalmedian $490 · 10th–90th $355$1,0000%20%10th90th$490$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$489.78
Median
$489.78
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,905.46
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$1,096.48
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$851.14
Typical High
$1,122.02
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$794.33
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$812.83