Replacement glove for hand restoration prosthesis

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Hand restoration replacmnt g

Payers reporting HCPCS L6915

Payer pricing summary

Low

$257

Average

$1.0k

Median

$920

High

$2.2k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +10 other terms	359	$937	$1.0k	$516	51%	—	$449 – $5.9k
2	UnitedHealthcare fee schedule · outpatient · +11 other terms	356	$906	$850	$263	31%	—	$244 – $2.9k
3	Humana fee schedule · outpatient · +12 other terms	317	$928	$1.2k	$1.2k	99%	—	$492 – $5.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	218	$956	$1.2k	$676	56%	—	$0 – $3.7k
5	WellCare fee schedule · outpatient · +4 other terms	208	$835	$867	$144	17%	—	$751 – $1.5k
6	Devoted fee schedule · outpatient · +3 other terms	165	$811	$817	$85	10%	—	$736 – $1.0k
7	Molina fee schedule · outpatient · +5 other terms	138	$1.1k	$1.1k	$417	37%	—	$521 – $2.1k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$797	$825	$98	12%	—	$766 – $1.1k
9	Cigna fee schedule · outpatient · +8 other terms	102	$965	$980	$299	31%	—	$736 – $2.9k
10	Anthem fee schedule · outpatient · +6 other terms	81	$766	$1.2k	$1.4k	112%	—	$492 – $7.5k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$782	$1.4k	$1.1k	76%	—	$736 – $6.5k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	40	$1.6k	$1.7k	$435	25%	—	$807 – $2.3k
13	Superior Healthplan fee schedule · outpatient	40	$805	$804	$4	0%	—	$751 – $805
14	Clover fee schedule · outpatient · +2 other terms	37	$805	$841	$101	12%	—	$751 – $1.0k
15	Oscar fee schedule · outpatient · +4 other terms	36	$984	$1.0k	$318	31%	—	$751 – $1.7k
16	Optum fee schedule · outpatient · +2 other terms	33	$937	$1.1k	$379	36%	—	$736 – $1.9k
17	Caresource fee schedule · outpatient · +5 other terms	28	$937	$1.0k	$313	31%	—	$492 – $1.5k
18	Regence facility · fee schedule · outpatient · +4 other terms	19	$797	$803	$25	3%	—	$741 – $851
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$1.1k	$1.1k	$106	10%	—	$782 – $1.1k
20	Bcbs Tx fee schedule · outpatient	18	$751	$751	—	—	—	$751 – $751
21	Medicare fee schedule · outpatient · +3 other terms	18	$736	$739	$6	1%	—	$736 – $751
22	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$998	$1.1k	$285	25%	—	$543 – $1.6k
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$908	$908	$212	23%	—	$442 – $1.1k
24	Wellmark fee schedule · both · +3 other terms	13	$974	$968	$40	4%	—	$726 – $974
25	Aetna Better Health fee schedule · outpatient · +2 other terms	12	$537	$696	$188	27%	—	$537 – $919

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