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
Ring flange plas/leather mol
Maple Grove, MN
See all hospitals reporting HCPCS L1110 →Price type
Fairview Maple Grove Surgery Center’s median price of $429 is 30% above the median hospital's median price ($331), higher than 80% of the 829 hospitals reporting HCPCS L1110. 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, 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 | $329 | $329 | — | — | — | $329 – $329 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $335 | $335 | — | — | — | $335 – $335 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $335 | $335 | — | — | — | $335 – $335 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $356 | $356 | — | — | — | $356 – $356 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $362 | $362 | — | — | — | $362 – $362 |
| 6 | Medica accessability fee schedule · both | $375 | $375 | — | — | — | $375 – $375 |
| 7 | Medica medicaid fee schedule · both | $375 | $375 | — | — | — | $375 – $375 |
| 8 | Medica ma non-snp fee schedule · both | $407 | $407 | — | — | — | $407 – $407 |
| 9 | Medica ma snp fee schedule · both | $407 | $407 | — | — | — | $407 – $407 |
| 10 | Medica prime solution fee schedule · both | $407 | $407 | — | — | — | $407 – $407 |
| 11 | Medica vantage fee schedule · both | $407 | $407 | — | — | — | $407 – $407 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $408 | $408 | — | — | — | $408 – $408 |
| 13 | Ucare mhcp fee schedule · both | $418 | $418 | — | — | — | $418 – $418 |
| 14 | Cigna commercial fee schedule · both | $502 | $502 | $44 | 9% | — | $459 – $546 |
| 15 | UnitedHealthcare commercial fee schedule · both | $616 | $616 | — | — | — | $616 – $616 |
| 16 | Ucare ifp with fairview fee schedule · outpatient | $675 | $675 | — | — | — | $675 – $675 |
| 17 | Medica bold fee schedule · both | $706 | $706 | — | — | — | $706 – $706 |
| 18 | Medica choice without / elect fee schedule · both | $785 | $785 | — | — | — | $785 – $785 |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $785 | $785 | — | — | — | $785 – $785 |
| 20 | Medica choice with fee schedule · both | $812 | $812 | — | — | — | $812 – $812 |
| 21 | Ucare ifp fee schedule · outpatient | $899 | $899 | — | — | — | $899 – $899 |
| 22 | Cigna commercial fee schedule · outpatient | $1.1k | $1.1k | $92 | 9% | — | $963 – $1.1k |
Last updated: May 18, 2026
See Scoliosis brace addition: molded plastic or leather ring flange pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.