1004 — Amputation Lower Extremity With Motor Score < 47.50, No Comorbidity Tier
$32,959
All-payer median here
$34,520
Cash / self-pay here
16
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.