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Hand Restoration, Replacement Glove

Texas rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $617 · 10th–90th $331$1,8620%10%20%10th90th$617Professionalmedian $437 · 10th–90th $331$6610%20%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
$331.13
Median
$354.81
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$660.69
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,288.25
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$645.65
Typical High
$1,122.02
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$724.44
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$407.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$645.65
Typical High
$1,122.02
Providence
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$467.74
Typical High
$575.44
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$1,023.29