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Hand Restoration, Replacement Glove

Virginia rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $759 · 10th–90th $398$9770%20%40%10th90th$759Professionalmedian $457 · 10th–90th $372$7760%50%10th90th$457$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$398.11
Median
$398.11
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$478.63
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$954.99
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$1,071.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$758.58
Medcost
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$562.34
Typical High
$1,047.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$446.68
Typical High
$501.19
Sentara
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$630.96
Typical High
$1,659.59
Sentara
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$630.96
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$562.34
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$389.05
Typical High
$588.84