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 prox & dist upright
Maple Grove, MN
See all hospitals reporting HCPCS L4070 →Price type
Fairview Maple Grove Surgery Center’s median price of $355 is 3% below the median hospital's median price ($366), higher than 41% of the 811 hospitals reporting HCPCS L4070. 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 | $272 | $272 | — | — | — | $272 – $272 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $276 | $276 | — | — | — | $276 – $276 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $276 | $276 | — | — | — | $276 – $276 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $294 | $294 | — | — | — | $294 – $294 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $299 | $299 | — | — | — | $299 – $299 |
| 6 | Medica accessability fee schedule · both | $310 | $310 | — | — | — | $310 – $310 |
| 7 | Medica medicaid fee schedule · both | $310 | $310 | — | — | — | $310 – $310 |
| 8 | Medica ma non-snp fee schedule · both | $336 | $336 | — | — | — | $336 – $336 |
| 9 | Medica ma snp fee schedule · both | $336 | $336 | — | — | — | $336 – $336 |
| 10 | Medica prime solution fee schedule · both | $336 | $336 | — | — | — | $336 – $336 |
| 11 | Medica vantage fee schedule · both | $336 | $336 | — | — | — | $336 – $336 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $337 | $337 | — | — | — | $337 – $337 |
| 13 | Ucare mhcp fee schedule · both | $345 | $345 | — | — | — | $345 – $345 |
| 14 | Cigna commercial fee schedule · both | $415 | $415 | $36 | 9% | — | $379 – $451 |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $558 | $558 | — | — | — | $558 – $558 |
| 16 | Medica bold fee schedule · both | $584 | $584 | — | — | — | $584 – $584 |
| 17 | Medica choice without / elect fee schedule · both | $649 | $649 | — | — | — | $649 – $649 |
| 18 | Medica city of st paul / essential uplan fee schedule · both | $649 | $649 | — | — | — | $649 – $649 |
| 19 | Medica choice with fee schedule · both | $671 | $671 | — | — | — | $671 – $671 |
| 20 | UnitedHealthcare commercial fee schedule · both | $679 | $679 | — | — | — | $679 – $679 |
| 21 | Ucare ifp fee schedule · outpatient | $743 | $743 | — | — | — | $743 – $743 |
| 22 | Cigna commercial fee schedule · outpatient | $872 | $872 | $76 | 9% | — | $796 – $948 |
Last updated: May 18, 2026
See Replacement of upper and lower uprights on leg brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.