Frejka hip abduction orthosis with cover 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

Ho flex frejka w/cov pre cst

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 $174 is 10% above the median hospital's median price ($158), higher than 59% of the 932 hospitals reporting HCPCS L1600. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L1600 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	$133	$133	—	—	—	$133 – $133
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
4	Blue Cross Blue Shield federal fee schedule · both	$144	$144	—	—	—	$144 – $144
5	Blue Cross Blue Shield commercial fee schedule · both	$147	$147	—	—	—	$147 – $147
6	Medica accessability fee schedule · both	$152	$152	—	—	—	$152 – $152
7	Medica medicaid fee schedule · both	$152	$152	—	—	—	$152 – $152
8	Medica ma non-snp fee schedule · both	$165	$165	—	—	—	$165 – $165
9	Medica ma snp fee schedule · both	$165	$165	—	—	—	$165 – $165
10	Medica prime solution fee schedule · both	$165	$165	—	—	—	$165 – $165
11	Medica vantage fee schedule · both	$165	$165	—	—	—	$165 – $165
12	Blue Cross Blue Shield medicaid fee schedule · both	$165	$165	—	—	—	$165 – $165
13	Ucare mhcp fee schedule · both	$169	$169	—	—	—	$169 – $169
14	Cigna commercial fee schedule · both	$203	$203	$18	9%	—	$186 – $221
15	Ucare ifp with fairview fee schedule · outpatient	$273	$273	—	—	—	$273 – $273
16	Medica bold fee schedule · both	$286	$286	—	—	—	$286 – $286
17	UnitedHealthcare commercial fee schedule · both	$311	$311	—	—	—	$311 – $311
18	Medica choice without / elect fee schedule · both	$318	$318	—	—	—	$318 – $318
19	Medica city of st paul / essential uplan fee schedule · both	$318	$318	—	—	—	$318 – $318
20	Medica choice with fee schedule · both	$329	$329	—	—	—	$329 – $329
21	Ucare ifp fee schedule · outpatient	$364	$364	—	—	—	$364 – $364
22	Cigna commercial fee schedule · outpatient	$427	$427	$37	9%	—	$390 – $464

Last updated: May 18, 2026

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