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
Replace non-molded thigh lac
Maple Grove, MN
See all hospitals reporting HCPCS L4045 →Price type
Fairview Maple Grove Surgery Center’s median price of $413 is 4% above the median hospital's median price ($396), higher than 60% of the 814 hospitals reporting HCPCS L4045. 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 | $317 | $317 | — | — | — | $317 – $317 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $322 | $322 | — | — | — | $322 – $322 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $322 | $322 | — | — | — | $322 – $322 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $343 | $343 | — | — | — | $343 – $343 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $349 | $349 | — | — | — | $349 – $349 |
| 6 | Medica accessability fee schedule · both | $361 | $361 | — | — | — | $361 – $361 |
| 7 | Medica medicaid fee schedule · both | $361 | $361 | — | — | — | $361 – $361 |
| 8 | Medica ma non-snp fee schedule · both | $392 | $392 | — | — | — | $392 – $392 |
| 9 | Medica ma snp fee schedule · both | $392 | $392 | — | — | — | $392 – $392 |
| 10 | Medica prime solution fee schedule · both | $392 | $392 | — | — | — | $392 – $392 |
| 11 | Medica vantage fee schedule · both | $392 | $392 | — | — | — | $392 – $392 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $393 | $393 | — | — | — | $393 – $393 |
| 13 | Ucare mhcp fee schedule · both | $403 | $403 | — | — | — | $403 – $403 |
| 14 | Cigna commercial fee schedule · both | $484 | $484 | $42 | 9% | — | $442 – $526 |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $650 | $650 | — | — | — | $650 – $650 |
| 16 | Medica bold fee schedule · both | $680 | $680 | — | — | — | $680 – $680 |
| 17 | Medica choice without / elect fee schedule · both | $756 | $756 | — | — | — | $756 – $756 |
| 18 | Medica city of st paul / essential uplan fee schedule · both | $756 | $756 | — | — | — | $756 – $756 |
| 19 | Medica choice with fee schedule · both | $782 | $782 | — | — | — | $782 – $782 |
| 20 | UnitedHealthcare commercial fee schedule · both | $791 | $791 | — | — | — | $791 – $791 |
| 21 | Ucare ifp fee schedule · outpatient | $866 | $866 | — | — | — | $866 – $866 |
| 22 | Cigna commercial fee schedule · outpatient | $1.0k | $1.0k | $88 | 9% | — | $928 – $1.1k |
Last updated: May 18, 2026
See Replacement lacer for custom thigh brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.