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.
Original text from hospital filings
Spherocylinder 4.25d/2.12-4d
Edina, MN
See all hospitals reporting HCPCS V2108 →Price type
Fairview Health Services’s median price of $74 is 12% above the median hospital's median price ($66), higher than 79% of the 731 hospitals reporting HCPCS V2108. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 29 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mn pmap fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 2 | Bcbs Mn aware federal fee schedule · both | $53 | $53 | — | — | — | $53 – $53 |
| 3 | Bcbs Mn aware/blue plus fee schedule · both | $54 | $54 | — | — | — | $54 – $54 |
| 4 | Sanford Health Plan medicare advantage fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 5 | UnitedHealthcare medicare advantage fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 6 | WellCare medicare advantage fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 7 | Ucare medicare advantage/msho fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 8 | Bcbs Mn medicare advantage fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 9 | Medica medicare advantage non-snp fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 10 | Medica medicare advantage non-snp fee schedule · both | $60 | $60 | — | — | — | $60 – $60 |
| 11 | Bcbs Mn aware federal fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 12 | Medica msho/medicare advantage snp fee schedule · both | $62 | $62 | — | — | — | $62 – $62 |
| 13 | Bcbs Mn aware/blue plus fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 14 | Medica managed medicaid/accessability fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 15 | Medica msho/medicare advantage snp fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 16 | Ucare individual and family with m health fairview fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 17 | Medica bold fee schedule · both | $105 | $105 | — | — | — | $105 – $105 |
| 18 | UnitedHealthcare commercial fee schedule · both | $112 | $112 | — | — | — | $112 – $112 |
| 19 | UnitedHealthcare core fee schedule · both | $112 | $112 | — | — | — | $112 – $112 |
| 20 | Medica vantage self insured fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 21 | Medica city of st. paul/essential-uplan fee schedule · both | $117 | $117 | — | — | — | $117 – $117 |
| 22 | Medica individual and family business except aco fee schedule · both | $117 | $117 | — | — | — | $117 – $117 |
| 23 | Medica choice fee schedule · both | $121 | $121 | — | — | — | $121 – $121 |
| 24 | Medica bold fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 25 | Ucare individual and family fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
Last updated: Feb 6, 2026
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