1303 — Rheumatoid Other Arthritis With Motor Score >= 44.50 And Motor Score < 51.50 And Age >= 64.50, No Comorbidity Tier
$3,015
All-payer median here
33
payer/plan-name variants
Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.