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Hand Restoration, Replacement Glove

Indiana rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $1,000 · 10th–90th $457$1,1480%20%40%10th90th$1,000Professionalmedian $468 · 10th–90th $380$7410%50%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
$467.74
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$467.74
Typical High
$676.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,000.00
Typical High
$1,258.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$831.76
CareSource
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,202.26
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$645.65
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$575.44
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$489.78
Typical High
$707.95