Replacement metal bands for knee-ankle-foot orthosis, thigh 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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Repl met band kafo-afo prox

Maple Grove, MN

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $134 is 7% above the median hospital's median price ($125), higher than 65% of the 807 hospitals reporting HCPCS L4080. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L4080 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	$103	$103	—	—	—	$103 – $103
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
4	Blue Cross Blue Shield federal fee schedule · both	$111	$111	—	—	—	$111 – $111
5	Blue Cross Blue Shield commercial fee schedule · both	$113	$113	—	—	—	$113 – $113
6	Medica accessability fee schedule · both	$117	$117	—	—	—	$117 – $117
7	Medica medicaid fee schedule · both	$117	$117	—	—	—	$117 – $117
8	Medica ma non-snp fee schedule · both	$127	$127	—	—	—	$127 – $127
9	Medica ma snp fee schedule · both	$127	$127	—	—	—	$127 – $127
10	Medica prime solution fee schedule · both	$127	$127	—	—	—	$127 – $127
11	Medica vantage fee schedule · both	$127	$127	—	—	—	$127 – $127
12	Blue Cross Blue Shield medicaid fee schedule · both	$127	$127	—	—	—	$127 – $127
13	Ucare mhcp fee schedule · both	$130	$130	—	—	—	$130 – $130
14	Cigna commercial fee schedule · both	$157	$157	$14	9%	—	$143 – $170
15	Ucare ifp with fairview fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
16	Medica bold fee schedule · both	$220	$220	—	—	—	$220 – $220
17	UnitedHealthcare commercial fee schedule · both	$244	$244	—	—	—	$244 – $244
18	Medica choice without / elect fee schedule · both	$245	$245	—	—	—	$245 – $245
19	Medica city of st paul / essential uplan fee schedule · both	$245	$245	—	—	—	$245 – $245
20	Medica choice with fee schedule · both	$253	$253	—	—	—	$253 – $253
21	Ucare ifp fee schedule · outpatient	$281	$281	—	—	—	$281 – $281
22	Cigna commercial fee schedule · outpatient	$329	$329	$29	9%	—	$301 – $358

Last updated: May 18, 2026

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See Replacement metal bands for knee-ankle-foot orthosis, thigh pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.