HCPCS L6915
Hand restoration (shading, and measurements included), replacement glove for above
Current code24 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $766 – $5,944 | — | — |
| Deaconess Medical Center | $1,064 – $3,700 | — | — |
| Harborview Medical Center | $1,422 – $1,778 | $1,089 | $1,556 |
| Kadlec Regional Medical Center | $1,341 – $2,497 | — | — |
| Mary Bridge Children's Hospital | $766 – $6,524 | — | — |
| MultiCare Auburn Medical Center | $745 – $3,841 | — | — |
| MultiCare Covington Medical Center | $745 – $3,841 | — | — |
| MultiCare Good Samaritan Hospital | $864 – $3,841 | — | — |
| MultiCare Valley Hospital | $851 – $3,691 | — | — |
| Overlake Hospital Medical Center & Clinics | $815 – $2,446 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,377 – $2,949 | — | — |
| Providence Centralia Hospital | $1,502 – $3,324 | — | — |
| Providence Regional Medical Center Everett | $1,067 – $2,062 | — | — |
| Providence St Peter Hospital | $756 – $2,902 | — | — |
| Seattle Children's Hospital | $1,349 – $2,397 | $2,497 | $2,497 |
| Swedish Edmonds Hospital | $1,333 – $3,261 | — | — |
| Swedish Issaquah | $1,333 – $1,973 | — | — |
| Swedish Medical Center | $1,333 – $3,175 | — | — |
| Swedish Medical Center / Cherry Hill | $1,333 – $3,175 | — | — |
| Tacoma General Allenmore Hospital | $745 – $3,841 | — | — |
| University of Washington Medical Ctr | $1,422 – $2,788 | $1,373 | $1,962 |
| Virginia Mason Medical Center | $851 – $3,092 | — | — |
| Wellfound Behavioral Health Hospital | $2,243 | — | — |
| Yakima Valley Memorial | $766 – $2,306 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $889 (fee)