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Hand Restoration, Replacement Glove

New Hampshire rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $832 · 10th–90th $457$1,0000%20%40%10th90th$832Professionalmedian $550 · 10th–90th $355$7080%20%10th90th$550$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
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$549.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$870.96
Typical High
$1,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$645.65
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$537.03
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$707.95
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,148.15