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Hand Restoration, Replacement Glove

Rhode Island rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $1,349 · 10th–90th $468$1,8620%10%10th90th$1,349Professionalmedian $427 · 10th–90th $355$5750%20%10th90th$427$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$389.05
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,621.81
Typical High
$1,862.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$426.58
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$575.44
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$676.08