Lumbar back brace with rigid rear panel 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
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Lso r post pnl sj-t9 pre cst

Maple Grove, MN

See all hospitals reporting HCPCS L0630 →

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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 $220 is 7% above the median hospital's median price ($206), higher than 65% of the 933 hospitals reporting HCPCS L0630. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0630 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 federal fee schedule · outpatient	$167	$167	—	—	—	$167 – $167
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$170	$170	—	—	—	$170 – $170
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$170	$170	—	—	—	$170 – $170
4	Blue Cross Blue Shield federal fee schedule · both	$181	$181	—	—	—	$181 – $181
5	Blue Cross Blue Shield commercial fee schedule · both	$184	$184	—	—	—	$184 – $184
6	Medica accessability fee schedule · both	$191	$191	—	—	—	$191 – $191
7	Medica medicaid fee schedule · both	$191	$191	—	—	—	$191 – $191
8	Medica ma non-snp fee schedule · both	$207	$207	—	—	—	$207 – $207
9	Medica ma snp fee schedule · both	$207	$207	—	—	—	$207 – $207
10	Medica prime solution fee schedule · both	$207	$207	—	—	—	$207 – $207
11	Medica vantage fee schedule · both	$207	$207	—	—	—	$207 – $207
12	Blue Cross Blue Shield medicaid fee schedule · both	$208	$208	—	—	—	$208 – $208
13	Ucare mhcp fee schedule · both	$213	$213	—	—	—	$213 – $213
14	Cigna commercial fee schedule · both	$256	$256	$22	9%	—	$233 – $278
15	Ucare ifp with fairview fee schedule · outpatient	$343	$343	—	—	—	$343 – $343
16	Medica bold fee schedule · both	$359	$359	—	—	—	$359 – $359
17	UnitedHealthcare commercial fee schedule · both	$373	$373	—	—	—	$373 – $373
18	Medica choice without / elect fee schedule · both	$399	$399	—	—	—	$399 – $399
19	Medica city of st paul / essential uplan fee schedule · both	$399	$399	—	—	—	$399 – $399
20	Medica choice with fee schedule · both	$413	$413	—	—	—	$413 – $413
21	Ucare ifp fee schedule · outpatient	$457	$457	—	—	—	$457 – $457
22	Cigna commercial fee schedule · outpatient	$537	$537	$47	9%	—	$490 – $583

Last updated: May 18, 2026

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See Lumbar back brace with rigid rear panel pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.