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Hand Restoration, Replacement Glove

Utah rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $490 · 10th–90th $240$7590%20%40%10th90th$490Professionalmedian $468 · 10th–90th $240$4,1690%10%20%10th90th$468$50.0$100.0$200.0$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
$239.88
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$331.13
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$645.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$549.54
Typical High
$707.95
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$758.58
Typical High
$758.58
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$977.24
Select Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Select Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$758.58
Typical High
$891.25
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$489.78
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$575.44