1101 — Amputation Non-lower Extremity With Motor Score >= 58.50, No Comorbidity Tier
$2,146
All-payer median here
38
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.