1204 — Osteoarthritis With Motor Score < 49.50 And Age < 74.50, No Comorbidity Tier
$44,398
All-payer median here
4
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.