Prosthetic arm quick-disconnect collar and coupling 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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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Lamination collar w/ couplin

Maple Grove, MN

See all hospitals reporting HCPCS L6629 →

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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 $262 is 19% above the median hospital's median price ($220), higher than 80% of the 822 hospitals reporting HCPCS L6629. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L6629 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	$201	$201	—	—	—	$201 – $201
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$204	$204	—	—	—	$204 – $204
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$204	$204	—	—	—	$204 – $204
4	Blue Cross Blue Shield federal fee schedule · both	$217	$217	—	—	—	$217 – $217
5	Blue Cross Blue Shield commercial fee schedule · both	$221	$221	—	—	—	$221 – $221
6	Medica accessability fee schedule · both	$229	$229	—	—	—	$229 – $229
7	Medica medicaid fee schedule · both	$229	$229	—	—	—	$229 – $229
8	Medica ma non-snp fee schedule · both	$248	$248	—	—	—	$248 – $248
9	Medica ma snp fee schedule · both	$248	$248	—	—	—	$248 – $248
10	Medica prime solution fee schedule · both	$248	$248	—	—	—	$248 – $248
11	Medica vantage fee schedule · both	$248	$248	—	—	—	$248 – $248
12	Blue Cross Blue Shield medicaid fee schedule · both	$249	$249	—	—	—	$249 – $249
13	Ucare mhcp fee schedule · both	$255	$255	—	—	—	$255 – $255
14	Cigna commercial fee schedule · both	$306	$306	$27	9%	—	$280 – $333
15	UnitedHealthcare commercial fee schedule · both	$376	$376	—	—	—	$376 – $376
16	Ucare ifp with fairview fee schedule · outpatient	$412	$412	—	—	—	$412 – $412
17	Medica bold fee schedule · both	$431	$431	—	—	—	$431 – $431
18	Medica choice without / elect fee schedule · both	$479	$479	—	—	—	$479 – $479
19	Medica city of st paul / essential uplan fee schedule · both	$479	$479	—	—	—	$479 – $479
20	Medica choice with fee schedule · both	$496	$496	—	—	—	$496 – $496
21	Ucare ifp fee schedule · outpatient	$549	$549	—	—	—	$549 – $549
22	Cigna commercial fee schedule · outpatient	$644	$644	$56	9%	—	$588 – $699

Last updated: May 18, 2026

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See Prosthetic arm quick-disconnect collar and coupling pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.