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Hand Restoration, Replacement Glove

Minnesota rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $1,698 · 10th–90th $813$7,9430%20%10th90th$1,698Professionalmedian $977 · 10th–90th $550$1,1220%50%10th90th$977$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
$812.83
Median
$812.83
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$562.34
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$977.24
Typical High
$1,445.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$977.24
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,715.35
Typical High
$10,232.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,288.25
Typical High
$1,445.44
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,073.80
Typical High
$7,943.28
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,548.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$977.24
Typical High
$4,073.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$407.38
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$489.78
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$512.86
Typical High
$1,348.96