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All Charges

Charge Type Price  
Service Code ICD 02VR0ZT
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 024J0K2
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 02LR0ZT
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 02HL4JZ
Min. Negotiated Rate $13,250.00
Max. Negotiated Rate $13,250.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,250.00
Service Code ICD 0JH804Z
Min. Negotiated Rate $13,250.00
Max. Negotiated Rate $13,250.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,250.00
Service Code ICD 0JH637Z
Min. Negotiated Rate $13,250.00
Max. Negotiated Rate $13,250.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,250.00
Service Code ICD 02LS0ZZ
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 02RJ3KZ
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 021708S
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 024G0J2
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 024J0J2
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 01HY4MZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 00HV0MZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD X2RF032
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 0JH606Z
Min. Negotiated Rate $13,250.00
Max. Negotiated Rate $13,250.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,250.00
Service Code ICD 02LT0ZZ
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 00H60MZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 0JH837Z
Min. Negotiated Rate $13,250.00
Max. Negotiated Rate $13,250.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,250.00
Service Code ICD 0JH834Z
Min. Negotiated Rate $13,250.00
Max. Negotiated Rate $13,250.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,250.00
Service Code ICD X2RF432
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 0JH604Z
Min. Negotiated Rate $13,250.00
Max. Negotiated Rate $13,250.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,250.00
Service Code ICD 024G072
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 00H00MZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 0JH807Z
Min. Negotiated Rate $13,250.00
Max. Negotiated Rate $13,250.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,250.00
Service Code ICD 0JH634Z
Min. Negotiated Rate $13,250.00
Max. Negotiated Rate $13,250.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,250.00