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
TENS suppl 2 lead per month
Maple Grove, MN
See all hospitals reporting HCPCS A4595 →Price type
Fairview Maple Grove Surgery Center’s median price of $14 is about the same as the median hospital's median price ($14), higher than 50% of the 732 hospitals reporting HCPCS A4595. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 21 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 | Medica accessability fee schedule · both | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Medica medicaid fee schedule · both | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 4 | Medica ma non-snp fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 5 | Medica ma snp fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 6 | Medica prime solution fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 7 | Medica vantage fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 8 | Ucare mhcp fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 9 | Cigna commercial fee schedule · both | $15 | $15 | $1 | 9% | — | $14 – $17 |
| 10 | Ucare ifp with fairview fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 11 | Medica bold fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 12 | Blue Cross Blue Shield federal fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 13 | Blue Cross Blue Shield commercial fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 14 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 15 | Medica choice without / elect fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 16 | Medica city of st paul / essential uplan fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 17 | Blue Cross Blue Shield federal fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 18 | Medica choice with fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 19 | Blue Cross Blue Shield commercial fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 20 | Ucare ifp fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 21 | UnitedHealthcare commercial fee schedule · both | $39 | $39 | — | — | — | $39 – $39 |
Last updated: May 18, 2026
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