Wheelchair arm support add-on with balance control 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-haiku-5-5
Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Offset/lat rocker arm w/ela

Maple Grove, MN

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $209 is 1% above the median hospital's median price ($206), higher than 55% of the 585 hospitals reporting HCPCS E2632. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E2632 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 5 payers, 22 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 commercial fee schedule · both	$108	$108	$89	82%	—	$20 – $197
2	Blue Cross Blue Shield federal fee schedule · both	$108	$108	$89	82%	—	$20 – $197
3	Blue Cross Blue Shield medicaid fee schedule · both	$115	$115	$94	82%	—	$21 – $209
4	Ucare mhcp fee schedule · both	$118	$118	$97	82%	—	$22 – $215
5	Medica ma non-snp fee schedule · both	$209	$147	$89	61%	—	$21 – $209
6	Medica ma snp fee schedule · both	$209	$147	$89	61%	—	$21 – $209
7	Medica prime solution fee schedule · both	$209	$147	$89	61%	—	$21 – $209
8	Medica vantage fee schedule · both	$209	$147	$89	61%	—	$21 – $209
9	Cigna commercial fee schedule · both	$193	$158	$99	62%	—	$24 – $279
10	Blue Cross Blue Shield federal fee schedule · outpatient	$182	$182	—	—	—	$182 – $182
11	Blue Cross Blue Shield commercial fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
12	Blue Cross Blue Shield medicaid fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
13	Medica accessability fee schedule · both	$192	$192	—	—	—	$192 – $192
14	Medica medicaid fee schedule · both	$192	$192	—	—	—	$192 – $192
15	Ucare ifp with fairview fee schedule · outpatient	$271	$223	$137	62%	—	$35 – $374
16	Medica bold fee schedule · both	$361	$253	$153	61%	—	$36 – $361
17	Medica choice without / elect fee schedule · both	$402	$281	$170	61%	—	$40 – $402
18	Medica city of st paul / essential uplan fee schedule · both	$402	$281	$170	61%	—	$40 – $402
19	Medica choice with fee schedule · both	$416	$291	$176	61%	—	$42 – $416
20	Ucare ifp fee schedule · outpatient	$361	$297	$183	62%	—	$47 – $498
21	UnitedHealthcare commercial fee schedule · both	$365	$297	$154	52%	—	$42 – $417
22	Cigna commercial fee schedule · outpatient	$539	$539	$47	9%	—	$492 – $586

Last updated: May 18, 2026

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