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Hand Restoration, Replacement Glove

Nebraska rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $1,023 · 10th–90th $537$1,9950%10%20%10th90th$1,023Professionalmedian $331 · 10th–90th $295$7410%20%40%10th90th$331$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
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$331.13
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$954.99
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,122.02
Typical High
$2,089.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,096.48
Typical High
$4,073.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$501.19
Typical High
$1,000.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$2,691.53
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,511.89
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$812.83
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$776.25