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
O shoe convert to sof counte
Maple Grove, MN
See all hospitals reporting HCPCS L3590 →Price type
Fairview Maple Grove Surgery Center’s median price of $73 is 8% above the median hospital's median price ($67), higher than 73% of the 815 hospitals reporting HCPCS L3590. 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 | $55 | $55 | — | — | — | $55 – $55 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $60 | $60 | — | — | — | $60 – $60 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $61 | $61 | — | — | — | $61 – $61 |
| 6 | Medica accessability fee schedule · both | $63 | $63 | — | — | — | $63 – $63 |
| 7 | Medica medicaid fee schedule · both | $63 | $63 | — | — | — | $63 – $63 |
| 8 | Medica ma non-snp fee schedule · both | $68 | $68 | — | — | — | $68 – $68 |
| 9 | Medica ma snp fee schedule · both | $68 | $68 | — | — | — | $68 – $68 |
| 10 | Medica prime solution fee schedule · both | $68 | $68 | — | — | — | $68 – $68 |
| 11 | Medica vantage fee schedule · both | $68 | $68 | — | — | — | $68 – $68 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $68 | $68 | — | — | — | $68 – $68 |
| 13 | Ucare mhcp fee schedule · both | $70 | $70 | — | — | — | $70 – $70 |
| 14 | Cigna commercial fee schedule · both | $84 | $84 | $7 | 9% | — | $77 – $92 |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 16 | Medica bold fee schedule · both | $119 | $119 | — | — | — | $119 – $119 |
| 17 | UnitedHealthcare commercial fee schedule · both | $123 | $123 | — | — | — | $123 – $123 |
| 18 | Medica choice without / elect fee schedule · both | $132 | $132 | — | — | — | $132 – $132 |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $132 | $132 | — | — | — | $132 – $132 |
| 20 | Medica choice with fee schedule · both | $136 | $136 | — | — | — | $136 – $136 |
| 21 | Ucare ifp fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 22 | Cigna commercial fee schedule · outpatient | $177 | $177 | $15 | 9% | — | $162 – $192 |
Last updated: May 18, 2026
See Orthopedic shoe modification: soften shoe counter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.