HCPCS D1204
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
Osteoarthritis M <49.50 and A <74.50
Low
$19
Average
$24
Median
$24
High
$31
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 2 | Blue Cross Blue Shield professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 3 | Devoted professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 4 | First Health professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 5 | MultiPlan professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $31 | $31 | — | — | — | $31 – $31 |
← Hospitals reporting HCPCS D1204 · Snapshot 20261113T090226Z-3ce6c0b8