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Hand Restoration, Replacement Glove

South Carolina rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $562 · 10th–90th $407$1,1480%20%10th90th$562Professionalmedian $468 · 10th–90th $355$6760%20%10th90th$468$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
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$407.38
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$851.14
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$794.33
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$1,122.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$446.68
Medcost
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$676.08
Typical High
$1,479.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$245.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$562.34
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$575.44