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Hand Restoration, Replacement Glove

Michigan rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $1,023 · 10th–90th $562$3,9810%20%10th90th$1,023Professionalmedian $562 · 10th–90th $389$9770%20%10th90th$562$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
$562.34
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,951.21
Typical High
$5,623.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$977.24
Typical High
$1,023.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$660.69
Typical High
$831.76
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,862.09
Typical High
$2,089.30
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$776.25
Typical High
$1,202.26
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$794.33
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$467.74
Typical High
$660.69