Below-knee prosthetic leg addition with thigh lacer 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 glut/ischia m

Maple Grove, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $840 is 4% above the median hospital's median price ($804), higher than 66% of the 834 hospitals reporting HCPCS L5682. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5682 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	$643	$643	—	—	—	$643 – $643
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$655	$655	—	—	—	$655 – $655
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$655	$655	—	—	—	$655 – $655
4	Blue Cross Blue Shield federal fee schedule · both	$696	$696	—	—	—	$696 – $696
5	Blue Cross Blue Shield commercial fee schedule · both	$709	$709	—	—	—	$709 – $709
6	Medica accessability fee schedule · both	$733	$733	—	—	—	$733 – $733
7	Medica medicaid fee schedule · both	$733	$733	—	—	—	$733 – $733
8	Medica ma non-snp fee schedule · both	$796	$796	—	—	—	$796 – $796
9	Medica ma snp fee schedule · both	$796	$796	—	—	—	$796 – $796
10	Medica prime solution fee schedule · both	$796	$796	—	—	—	$796 – $796
11	Medica vantage fee schedule · both	$796	$796	—	—	—	$796 – $796
12	Blue Cross Blue Shield medicaid fee schedule · both	$798	$798	—	—	—	$798 – $798
13	Ucare mhcp fee schedule · both	$818	$818	—	—	—	$818 – $818
14	Cigna commercial fee schedule · both	$983	$983	$85	9%	—	$897 – $1.1k
15	Ucare ifp with fairview fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
16	Medica bold fee schedule · both	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
17	Medica choice without / elect fee schedule · both	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
18	Medica city of st paul / essential uplan fee schedule · both	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
19	Medica choice with fee schedule · both	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
20	UnitedHealthcare commercial fee schedule · both	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
21	Ucare ifp fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
22	Cigna commercial fee schedule · outpatient	$2.1k	$2.1k	$180	9%	—	$1.9k – $2.2k

Last updated: May 18, 2026

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