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Hand Restoration, Replacement Glove

North Carolina rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $676 · 10th–90th $389$1,6220%20%10th90th$676Professionalmedian $676 · 10th–90th $380$7080%50%10th90th$676$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
$676.08
Median
$676.08
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$676.08
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$776.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$380.19
Typical High
$501.19
Medcost
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$724.44
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$588.84
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$457.09
Typical High
$616.60
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$5,623.41