Custom rigid elbow, wrist and hand 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

EWHO rigid w/o jnts CF

Maple Grove, MN

See all hospitals reporting HCPCS L3763 →

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $926 is 11% above the median hospital's median price ($831), higher than 68% of the 1,315 hospitals reporting HCPCS L3763. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3763 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	$703	$703	—	—	—	$703 – $703
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$716	$716	—	—	—	$716 – $716
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$716	$716	—	—	—	$716 – $716
4	Blue Cross Blue Shield federal fee schedule · both	$761	$761	—	—	—	$761 – $761
5	Blue Cross Blue Shield commercial fee schedule · both	$775	$775	—	—	—	$775 – $775
6	Medica accessability fee schedule · both	$801	$801	—	—	—	$801 – $801
7	Medica medicaid fee schedule · both	$801	$801	—	—	—	$801 – $801
8	Medica ma non-snp fee schedule · both	$870	$870	—	—	—	$870 – $870
9	Medica ma snp fee schedule · both	$870	$870	—	—	—	$870 – $870
10	Medica prime solution fee schedule · both	$870	$870	—	—	—	$870 – $870
11	Medica vantage fee schedule · both	$870	$870	—	—	—	$870 – $870
12	Blue Cross Blue Shield medicaid fee schedule · both	$873	$873	—	—	—	$873 – $873
13	Ucare mhcp fee schedule · both	$894	$894	—	—	—	$894 – $894
14	Cigna commercial fee schedule · both	$1.1k	$1.1k	$93	9%	—	$981 – $1.2k
15	Ucare ifp with fairview fee schedule · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
16	Medica bold fee schedule · both	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
17	UnitedHealthcare commercial fee schedule · both	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
18	Medica choice without / elect fee schedule · both	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
19	Medica city of st paul / essential uplan fee schedule · both	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
20	Medica choice with fee schedule · both	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
21	Ucare ifp fee schedule · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
22	Cigna commercial fee schedule · outpatient	$2.3k	$2.3k	$196	9%	—	$2.1k – $2.5k

Last updated: May 18, 2026

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