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Washington rates for HCPCS L6915

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

Facilitymedian $871 · 10th–90th $562–$1,9950%20%10th90th$871Professionalmedian $575 · 10th–90th $372–$1,2300%10%20%10th90th$575$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $478.63 / $812.83
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $851.14 / $851.14
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $645.65
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $1,122.02 / $2,454.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,023.29 / $1,737.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $660.69 / $741.31
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $851.14 / $870.96
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $870.96 / $1,096.48
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,288.25 / $1,737.80
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $851.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,230.27 / $1,230.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $501.19 / $707.95
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $616.60 / $1,318.26