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
Harness figure of 8 dual con
Maple Grove, MN
See all hospitals reporting HCPCS L6676 →Price type
Fairview Maple Grove Surgery Center’s median price of $169 is 2% below the median hospital's median price ($172), higher than 45% of the 820 hospitals reporting HCPCS L6676. 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, 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 | $129 | $129 | — | — | — | $129 – $129 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $140 | $140 | — | — | — | $140 – $140 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $142 | $142 | — | — | — | $142 – $142 |
| 6 | Medica accessability fee schedule · both | $147 | $147 | — | — | — | $147 – $147 |
| 7 | Medica medicaid fee schedule · both | $147 | $147 | — | — | — | $147 – $147 |
| 8 | Medica ma non-snp fee schedule · both | $160 | $160 | — | — | — | $160 – $160 |
| 9 | Medica ma snp fee schedule · both | $160 | $160 | — | — | — | $160 – $160 |
| 10 | Medica prime solution fee schedule · both | $160 | $160 | — | — | — | $160 – $160 |
| 11 | Medica vantage fee schedule · both | $160 | $160 | — | — | — | $160 – $160 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $160 | $160 | — | — | — | $160 – $160 |
| 13 | Ucare mhcp fee schedule · both | $164 | $164 | — | — | — | $164 – $164 |
| 14 | Cigna commercial fee schedule · both | $198 | $198 | $17 | 9% | — | $180 – $215 |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $265 | $265 | — | — | — | $265 – $265 |
| 16 | Medica bold fee schedule · both | $278 | $278 | — | — | — | $278 – $278 |
| 17 | Medica choice without / elect fee schedule · both | $309 | $309 | — | — | — | $309 – $309 |
| 18 | Medica city of st paul / essential uplan fee schedule · both | $309 | $309 | — | — | — | $309 – $309 |
| 19 | UnitedHealthcare commercial fee schedule · both | $312 | $312 | — | — | — | $312 – $312 |
| 20 | Medica choice with fee schedule · both | $319 | $319 | — | — | — | $319 – $319 |
| 21 | Ucare ifp fee schedule · outpatient | $353 | $353 | — | — | — | $353 – $353 |
| 22 | Cigna commercial fee schedule · outpatient | $415 | $415 | $36 | 9% | — | $379 – $451 |
Last updated: May 18, 2026
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