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
Frame typ sock above elb/dis
Maple Grove, MN
See all hospitals reporting HCPCS L6688 →Price type
Fairview Maple Grove Surgery Center’s median price of $857 is 12% above the median hospital's median price ($766), higher than 68% of the 812 hospitals reporting HCPCS L6688. 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 | $656 | $656 | — | — | — | $656 – $656 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $668 | $668 | — | — | — | $668 – $668 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $668 | $668 | — | — | — | $668 – $668 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $711 | $711 | — | — | — | $711 – $711 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $724 | $724 | — | — | — | $724 – $724 |
| 6 | Medica accessability fee schedule · both | $748 | $748 | — | — | — | $748 – $748 |
| 7 | Medica medicaid fee schedule · both | $748 | $748 | — | — | — | $748 – $748 |
| 8 | Medica ma non-snp fee schedule · both | $812 | $812 | — | — | — | $812 – $812 |
| 9 | Medica ma snp fee schedule · both | $812 | $812 | — | — | — | $812 – $812 |
| 10 | Medica prime solution fee schedule · both | $812 | $812 | — | — | — | $812 – $812 |
| 11 | Medica vantage fee schedule · both | $812 | $812 | — | — | — | $812 – $812 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $815 | $815 | — | — | — | $815 – $815 |
| 13 | Ucare mhcp fee schedule · both | $835 | $835 | — | — | — | $835 – $835 |
| 14 | Cigna commercial fee schedule · both | $1.0k | $1.0k | $87 | 9% | — | $916 – $1.1k |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | UnitedHealthcare commercial fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 17 | Medica bold fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | Medica choice without / elect fee schedule · both | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 20 | Medica choice with fee schedule · both | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 21 | Ucare ifp fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 22 | Cigna commercial fee schedule · outpatient | $2.1k | $2.1k | $183 | 9% | — | $1.9k – $2.3k |
Last updated: May 18, 2026
See Upper extremity prosthetic addition for above-elbow socket pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.