go back

Virginia rates for HCPCS L6915

Hand Restoration (Shading And Measurements Included) Replacement Glove For Above

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.28 / $396.28 / $400.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.28 / $396.28 / $477.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.38 / $751.38 / $797.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.77 / $459.77 / $599.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.00 / $421.08 / $513.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.36 / $644.36 / $644.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $470.38 / $644.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.97 / $676.24 / $901.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.00 / $476.60 / $895.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.00 / $986.93 / $1,251.55
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.66 / $567.05 / $939.23
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.66 / $567.05 / $939.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.11 / $374.86 / $577.64