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Hand Restoration, Replacement Glove

Montana rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $741 · 10th–90th $562$9770%20%40%10th90th$741Professionalmedian $741 · 10th–90th $240$1,4450%10%20%10th90th$741$100.0$200.0$500.0$1.0K$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
Professional
Modifier
Global
Typical Low
$239.88
Median
$776.25
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$794.33
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$794.33
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$1,445.44
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$1,445.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$691.83
Typical High
$1,071.52
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$645.65
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$562.34
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$575.44