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Hand Restoration, Replacement Glove

Missouri rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $813 · 10th–90th $457$1,9050%20%10th90th$813Professionalmedian $525 · 10th–90th $447$1,2020%20%10th90th$525$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
$457.09
Median
$676.08
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$676.08
Typical High
$4,168.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$3,548.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$489.78
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$776.25
Typical High
$2,238.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$501.19
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$812.83
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$501.19
Typical High
$724.44