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Hand Restoration, Replacement Glove

Massachusetts rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $646 · 10th–90th $355$2,5120%10%20%10th90th$646Professionalmedian $708 · 10th–90th $355$1,0720%20%40%10th90th$708$1.0$10.0$100.0$1.0K$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
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$389.05
Typical High
$1,122.02
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$831.76
Typical High
$4,677.35
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$630.96
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$588.84
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$741.31
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,071.52
Health New England
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$831.76
Typical High
$4,677.35
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$630.96
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$575.44
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$676.08
Typical High
$724.44