Plasminogen, human-tvmh 1 mg at Fairview Maple Grove Surgery Center

Maple Grove, MN

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $31 is 50% below the median hospital's median price ($63), higher than 24% of the 210 hospitals reporting HCPCS C9090. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C9090 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 1 payer, 3 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	Blue Cross Blue Shield federal fee schedule · outpatient	$31	$31	—	—	—	$31 – $31
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$31	$31	—	—	—	$31 – $31
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$31	$31	—	—	—	$31 – $31

Last updated: May 18, 2026

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HCPCS C9090