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Hand Restoration, Replacement Glove

Tennessee rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $692 · 10th–90th $389$4,6770%20%10th90th$692Professionalmedian $437 · 10th–90th $355$7760%20%40%10th90th$437$1.0$5.0$20.0$100.0$500.0$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
$389.05
Median
$389.05
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$398.11
Typical High
$776.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$645.65
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,623.41
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$562.34
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$446.68
Typical High
$575.44