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
Ak/ft power asst incl motors
Maple Grove, MN
See all hospitals reporting HCPCS L5969 →Price type
Fairview Maple Grove Surgery Center’s median price of $14.7k is about the same as the median hospital's median price ($14.8k), higher than 49% of the 261 hospitals reporting HCPCS L5969. 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, 12 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 · both | $12.3k | $12.3k | — | — | — | $12.3k – $12.3k |
| 2 | Blue Cross Blue Shield federal fee schedule · outpatient | $12.3k | $12.3k | — | — | — | $12.3k – $12.3k |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 5 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 6 | Medica accessability fee schedule · both | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 7 | Medica medicaid fee schedule · both | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 8 | Blue Cross Blue Shield medicaid fee schedule · both | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 9 | Ucare mhcp fee schedule · both | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 10 | Cigna commercial fee schedule · both | $16.0k | $16.0k | $1.4k | 9% | — | $14.7k – $17.4k |
| 11 | UnitedHealthcare commercial fee schedule · both | $31.6k | $31.6k | — | — | — | $31.6k – $31.6k |
| 12 | Cigna commercial fee schedule · outpatient | $33.7k | $33.7k | $2.9k | 9% | — | $30.8k – $36.6k |
Last updated: May 18, 2026
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