Replacement leather cuff for knee-ankle-foot orthosis 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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Generated: October 20, 2026

Original text from hospital filings

Repl leath cuff kafo-afo cal

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 $107 is 1% above the median hospital's median price ($106), higher than 52% of the 818 hospitals reporting HCPCS L4110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L4110 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	$82	$82	—	—	—	$82 – $82
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$83	$83	—	—	—	$83 – $83
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$83	$83	—	—	—	$83 – $83
4	Blue Cross Blue Shield federal fee schedule · both	$89	$89	—	—	—	$89 – $89
5	Blue Cross Blue Shield commercial fee schedule · both	$90	$90	—	—	—	$90 – $90
6	Medica accessability fee schedule · both	$93	$93	—	—	—	$93 – $93
7	Medica medicaid fee schedule · both	$93	$93	—	—	—	$93 – $93
8	Medica ma non-snp fee schedule · both	$101	$101	—	—	—	$101 – $101
9	Medica ma snp fee schedule · both	$101	$101	—	—	—	$101 – $101
10	Medica prime solution fee schedule · both	$101	$101	—	—	—	$101 – $101
11	Medica vantage fee schedule · both	$101	$101	—	—	—	$101 – $101
12	Blue Cross Blue Shield medicaid fee schedule · both	$102	$102	—	—	—	$102 – $102
13	Ucare mhcp fee schedule · both	$104	$104	—	—	—	$104 – $104
14	Cigna commercial fee schedule · both	$125	$125	$11	9%	—	$114 – $136
15	Ucare ifp with fairview fee schedule · outpatient	$168	$168	—	—	—	$168 – $168
16	Medica bold fee schedule · both	$176	$176	—	—	—	$176 – $176
17	Medica choice without / elect fee schedule · both	$195	$195	—	—	—	$195 – $195
18	Medica city of st paul / essential uplan fee schedule · both	$195	$195	—	—	—	$195 – $195
19	Medica choice with fee schedule · both	$202	$202	—	—	—	$202 – $202
20	UnitedHealthcare commercial fee schedule · both	$205	$205	—	—	—	$205 – $205
21	Ucare ifp fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
22	Cigna commercial fee schedule · outpatient	$263	$263	$23	9%	—	$240 – $286

Last updated: May 18, 2026

Compare to other hospitals

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