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Hand Restoration, Replacement Glove

North Dakota rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $550 · 10th–90th $550$9330%50%90th$550Professionalmedian $759 · 10th–90th $447$9330%20%10th90th$759$200.0$500.0$1.0K$2.0K$5.0K

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
$549.54
Median
$549.54
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$549.54
Typical High
$3,715.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,122.02
Typical High
$1,412.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$758.58
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$371.54
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$588.84
Typical High
$1,148.15