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Hand Restoration, Replacement Glove

New Jersey rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $282 · 10th–90th $275$7590%20%40%10th90th$282Professionalmedian $447 · 10th–90th $295$7590%10%20%10th90th$447$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
$275.42
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$380.19
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$645.65
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$1,000.00
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$457.09
Typical High
$741.31