Pre-tibial shell for lower leg brace 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

Pre-tibial shell molded to p

Maple Grove, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $563 is 13% below the median hospital's median price ($645), higher than 31% of the 947 hospitals reporting HCPCS L2340. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L2340 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	$431	$431	—	—	—	$431 – $431
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$439	$439	—	—	—	$439 – $439
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$439	$439	—	—	—	$439 – $439
4	Blue Cross Blue Shield federal fee schedule · both	$467	$467	—	—	—	$467 – $467
5	Blue Cross Blue Shield commercial fee schedule · both	$476	$476	—	—	—	$476 – $476
6	Medica accessability fee schedule · both	$492	$492	—	—	—	$492 – $492
7	Medica medicaid fee schedule · both	$492	$492	—	—	—	$492 – $492
8	Medica ma non-snp fee schedule · both	$534	$534	—	—	—	$534 – $534
9	Medica ma snp fee schedule · both	$534	$534	—	—	—	$534 – $534
10	Medica prime solution fee schedule · both	$534	$534	—	—	—	$534 – $534
11	Medica vantage fee schedule · both	$534	$534	—	—	—	$534 – $534
12	Blue Cross Blue Shield medicaid fee schedule · both	$536	$536	—	—	—	$536 – $536
13	Ucare mhcp fee schedule · both	$548	$548	—	—	—	$548 – $548
14	Cigna commercial fee schedule · both	$659	$659	$57	9%	—	$602 – $717
15	Ucare ifp with fairview fee schedule · outpatient	$885	$885	—	—	—	$885 – $885
16	Medica bold fee schedule · both	$927	$927	—	—	—	$927 – $927
17	Medica choice without / elect fee schedule · both	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
18	Medica city of st paul / essential uplan fee schedule · both	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
19	Medica choice with fee schedule · both	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
20	UnitedHealthcare commercial fee schedule · both	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
21	Ucare ifp fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
22	Cigna commercial fee schedule · outpatient	$1.4k	$1.4k	$120	9%	—	$1.3k – $1.5k

Last updated: May 18, 2026

Compare to other hospitals

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