Add-on injection to block nerve signals in an additional limb at Fairview Maple Grove Surgery Center

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CHEMODENERV 1 EXTREM 1-4 EA

Maple Grove, MN

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $218 is 57% below the median hospital's median price ($500), higher than 32% of the 1,607 hospitals reporting CPT 64643. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 64643 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 6 payers, 34 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	Medicaid medicaid fee schedule · both	$45	$45	—	—	—	$45 – $45
2	Ucare mhcp fee schedule · both	$46	$46	—	—	—	$46 – $46
3	Medica accessability fee schedule · both	$49	$49	—	—	—	$49 – $49
4	Medica medicaid fee schedule · both	$49	$49	—	—	—	$49 – $49
5	Blue Cross Blue Shield medicaid fee schedule · both	$52	$52	—	—	—	$52 – $52
6	UnitedHealthcare medicare advantage fee schedule · both	$62	$62	—	—	—	$62 – $62
7	Blue Cross Blue Shield medicare advantage fee schedule · both	$64	$64	—	—	—	$64 – $64
8	Medica ma non-snp fee schedule · both	$66	$66	—	—	—	$66 – $66
9	Medica ma snp fee schedule · both	$66	$66	—	—	—	$66 – $66
10	Medica prime solution fee schedule · both	$66	$66	—	—	—	$66 – $66
11	Medica vantage fee schedule · both	$66	$66	—	—	—	$66 – $66
12	Ucare ifp with fairview fee schedule · both	$163	$163	—	—	—	$163 – $163
13	Ucare ifp fee schedule · both	$171	$171	—	—	—	$171 – $171
14	Medica bold fee schedule · both	$196	$196	—	—	—	$196 – $196
15	Medica choice without / elect fee schedule · both	$218	$218	—	—	—	$218 – $218
16	Medica city of st paul / essential uplan fee schedule · both	$218	$218	—	—	—	$218 – $218
17	Medica accessability fee schedule · outpatient	$220	$220	—	—	—	$220 – $220
18	Medica choice with fee schedule · both	$225	$225	—	—	—	$225 – $225
19	UnitedHealthcare commercial fee schedule · both	$232	$232	—	—	—	$232 – $232
20	Blue Cross Blue Shield federal fee schedule · both	$233	$233	—	—	—	$233 – $233
21	Blue Cross Blue Shield commercial fee schedule · both	$238	$238	—	—	—	$238 – $238
22	Medica medicaid fee schedule · outpatient	$256	$256	—	—	—	$256 – $256
23	Cigna commercial fee schedule · both	$295	$295	$26	9%	—	$269 – $320
24	Medica ma snp fee schedule · outpatient	$341	$341	—	—	—	$341 – $341
25	Medica bold fee schedule · outpatient	$590	$590	—	—	—	$590 – $590

Page 1 of 2 · 34 rates

Last updated: May 18, 2026

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See Add-on injection to block nerve signals in an additional limb pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.