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
Full sole/heel wedge btween
Maple Grove, MN
See all hospitals reporting HCPCS L3420 →Price type
Fairview Maple Grove Surgery Center’s median price of $75 is 8% above the median hospital's median price ($69), higher than 74% of the 858 hospitals reporting HCPCS L3420. 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 | $56 | $56 | — | — | — | $56 – $56 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $61 | $61 | — | — | — | $61 – $61 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $62 | $62 | — | — | — | $62 – $62 |
| 6 | Medica accessability fee schedule · both | $64 | $64 | — | — | — | $64 – $64 |
| 7 | Medica medicaid fee schedule · both | $64 | $64 | — | — | — | $64 – $64 |
| 8 | Medica ma non-snp fee schedule · both | $70 | $70 | — | — | — | $70 – $70 |
| 9 | Medica ma snp fee schedule · both | $70 | $70 | — | — | — | $70 – $70 |
| 10 | Medica prime solution fee schedule · both | $70 | $70 | — | — | — | $70 – $70 |
| 11 | Medica vantage fee schedule · both | $70 | $70 | — | — | — | $70 – $70 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $70 | $70 | — | — | — | $70 – $70 |
| 13 | Ucare mhcp fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 14 | Cigna commercial fee schedule · both | $86 | $86 | $8 | 9% | — | $79 – $94 |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 16 | Medica bold fee schedule · both | $121 | $121 | — | — | — | $121 – $121 |
| 17 | UnitedHealthcare commercial fee schedule · both | $126 | $126 | — | — | — | $126 – $126 |
| 18 | Medica choice without / elect fee schedule · both | $135 | $135 | — | — | — | $135 – $135 |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $135 | $135 | — | — | — | $135 – $135 |
| 20 | Medica choice with fee schedule · both | $140 | $140 | — | — | — | $140 – $140 |
| 21 | Ucare ifp fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 22 | Cigna commercial fee schedule · outpatient | $182 | $182 | $16 | 9% | — | $166 – $197 |
Last updated: May 18, 2026
See Full sole and heel wedge, between sole layers pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.