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Hand Restoration, Replacement Glove

Washington rates for HCPCS L6915

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

Rates data updated July 2026.

Facilitymedian $871 · 10th–90th $575$1,8200%20%10th90th$871Professionalmedian $724 · 10th–90th $372$1,4790%10%20%10th90th$724$10.0$50.0$200.0$1.0K$5.0K

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
$562.34
Median
$562.34
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$4,168.69
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$851.14
Typical High
$870.96
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$977.24
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,122.02
Typical High
$2,454.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$977.24
Typical High
$1,737.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$660.69
Typical High
$741.31
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$851.14
Typical High
$870.96
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$1,096.48
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,288.25
Typical High
$1,737.80
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$851.14
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$870.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,230.27
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$537.03
Typical High
$741.31
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$758.58