Upper extremity prosthesis excursion amplifier pulley 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.

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Generated: October 20, 2026

Original text from hospital filings

Excursion amplifier pulley t

Maple Grove, MN

See all hospitals reporting HCPCS L6641 →

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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 $265 is 11% above the median hospital's median price ($239), higher than 77% of the 826 hospitals reporting HCPCS L6641. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L6641 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	$203	$203	—	—	—	$203 – $203
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
4	Blue Cross Blue Shield federal fee schedule · both	$220	$220	—	—	—	$220 – $220
5	Blue Cross Blue Shield commercial fee schedule · both	$224	$224	—	—	—	$224 – $224
6	Medica accessability fee schedule · both	$231	$231	—	—	—	$231 – $231
7	Medica medicaid fee schedule · both	$231	$231	—	—	—	$231 – $231
8	Medica ma non-snp fee schedule · both	$251	$251	—	—	—	$251 – $251
9	Medica ma snp fee schedule · both	$251	$251	—	—	—	$251 – $251
10	Medica prime solution fee schedule · both	$251	$251	—	—	—	$251 – $251
11	Medica vantage fee schedule · both	$251	$251	—	—	—	$251 – $251
12	Blue Cross Blue Shield medicaid fee schedule · both	$252	$252	—	—	—	$252 – $252
13	Ucare mhcp fee schedule · both	$258	$258	—	—	—	$258 – $258
14	Cigna commercial fee schedule · both	$310	$310	$27	9%	—	$283 – $337
15	UnitedHealthcare commercial fee schedule · both	$412	$412	—	—	—	$412 – $412
16	Ucare ifp with fairview fee schedule · outpatient	$416	$416	—	—	—	$416 – $416
17	Medica bold fee schedule · both	$436	$436	—	—	—	$436 – $436
18	Medica choice without / elect fee schedule · both	$484	$484	—	—	—	$484 – $484
19	Medica city of st paul / essential uplan fee schedule · both	$484	$484	—	—	—	$484 – $484
20	Medica choice with fee schedule · both	$501	$501	—	—	—	$501 – $501
21	Ucare ifp fee schedule · outpatient	$555	$555	—	—	—	$555 – $555
22	Cigna commercial fee schedule · outpatient	$651	$651	$57	9%	—	$594 – $707

Last updated: May 18, 2026

Compare to other hospitals

See Upper extremity prosthesis excursion amplifier pulley pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.