Wrist flexion/extension add-on for upper limb 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.

Model: claude-haiku-5-5
Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Flexion/extension wrist unit

Maple Grove, MN

See all hospitals reporting HCPCS L6620 →

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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 $506 is 20% above the median hospital's median price ($423), higher than 78% of the 832 hospitals reporting HCPCS L6620. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L6620 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	$387	$387	—	—	—	$387 – $387
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$394	$394	—	—	—	$394 – $394
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$394	$394	—	—	—	$394 – $394
4	Blue Cross Blue Shield federal fee schedule · both	$419	$419	—	—	—	$419 – $419
5	Blue Cross Blue Shield commercial fee schedule · both	$427	$427	—	—	—	$427 – $427
6	Medica accessability fee schedule · both	$442	$442	—	—	—	$442 – $442
7	Medica medicaid fee schedule · both	$442	$442	—	—	—	$442 – $442
8	Medica ma non-snp fee schedule · both	$479	$479	—	—	—	$479 – $479
9	Medica ma snp fee schedule · both	$479	$479	—	—	—	$479 – $479
10	Medica prime solution fee schedule · both	$479	$479	—	—	—	$479 – $479
11	Medica vantage fee schedule · both	$479	$479	—	—	—	$479 – $479
12	Blue Cross Blue Shield medicaid fee schedule · both	$481	$481	—	—	—	$481 – $481
13	Ucare mhcp fee schedule · both	$492	$492	—	—	—	$492 – $492
14	Cigna commercial fee schedule · both	$592	$592	$51	9%	—	$540 – $643
15	UnitedHealthcare commercial fee schedule · both	$779	$779	—	—	—	$779 – $779
16	Ucare ifp with fairview fee schedule · outpatient	$795	$795	—	—	—	$795 – $795
17	Medica bold fee schedule · both	$833	$833	—	—	—	$833 – $833
18	Medica choice without / elect fee schedule · both	$925	$925	—	—	—	$925 – $925
19	Medica city of st paul / essential uplan fee schedule · both	$925	$925	—	—	—	$925 – $925
20	Medica choice with fee schedule · both	$957	$957	—	—	—	$957 – $957
21	Ucare ifp fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
22	Cigna commercial fee schedule · outpatient	$1.2k	$1.2k	$108	9%	—	$1.1k – $1.4k

Last updated: May 18, 2026

Compare to other hospitals

See Wrist flexion/extension add-on for upper limb orthosis pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.