Lower leg brace with thigh lacer, non-molded 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

Bk thigh lacer non-molded

Maple Grove, MN

See all hospitals reporting HCPCS L5680 →

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $409 is 3% below the median hospital's median price ($423), higher than 31% of the 838 hospitals reporting HCPCS L5680. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5680 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	$313	$313	—	—	—	$313 – $313
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$319	$319	—	—	—	$319 – $319
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$319	$319	—	—	—	$319 – $319
4	Blue Cross Blue Shield federal fee schedule · both	$339	$339	—	—	—	$339 – $339
5	Blue Cross Blue Shield commercial fee schedule · both	$345	$345	—	—	—	$345 – $345
6	Medica accessability fee schedule · both	$357	$357	—	—	—	$357 – $357
7	Medica medicaid fee schedule · both	$357	$357	—	—	—	$357 – $357
8	Medica ma non-snp fee schedule · both	$387	$387	—	—	—	$387 – $387
9	Medica ma snp fee schedule · both	$387	$387	—	—	—	$387 – $387
10	Medica prime solution fee schedule · both	$387	$387	—	—	—	$387 – $387
11	Medica vantage fee schedule · both	$387	$387	—	—	—	$387 – $387
12	Blue Cross Blue Shield medicaid fee schedule · both	$389	$389	—	—	—	$389 – $389
13	Ucare mhcp fee schedule · both	$398	$398	—	—	—	$398 – $398
14	Cigna commercial fee schedule · both	$479	$479	$42	9%	—	$437 – $520
15	Ucare ifp with fairview fee schedule · outpatient	$642	$642	—	—	—	$642 – $642
16	Medica bold fee schedule · both	$673	$673	—	—	—	$673 – $673
17	Medica choice without / elect fee schedule · both	$747	$747	—	—	—	$747 – $747
18	Medica city of st paul / essential uplan fee schedule · both	$747	$747	—	—	—	$747 – $747
19	Medica choice with fee schedule · both	$773	$773	—	—	—	$773 – $773
20	UnitedHealthcare commercial fee schedule · both	$782	$782	—	—	—	$782 – $782
21	Ucare ifp fee schedule · outpatient	$856	$856	—	—	—	$856 – $856
22	Cigna commercial fee schedule · outpatient	$1.0k	$1.0k	$87	9%	—	$918 – $1.1k

Last updated: May 18, 2026

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See Lower leg brace with thigh lacer, non-molded pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.