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All Charges

Charge Type Setting Price  
Service Code ICD 047J47Z
Hospital Charge Code 2210
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047K041
Hospital Charge Code 2211
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047K04Z
Hospital Charge Code 2212
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047K05Z
Hospital Charge Code 2213
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047K06Z
Hospital Charge Code 2214
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047K07Z
Hospital Charge Code 2215
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047K341
Hospital Charge Code 2216
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047K34Z
Hospital Charge Code 2217
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047K35Z
Hospital Charge Code 2218
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047K36Z
Hospital Charge Code 2219
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047K37Z
Hospital Charge Code 2220
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047K441
Hospital Charge Code 2221
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047K44Z
Hospital Charge Code 2222
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047K45Z
Hospital Charge Code 2223
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047K46Z
Hospital Charge Code 2224
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047K47Z
Hospital Charge Code 2225
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047L041
Hospital Charge Code 2226
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047L04Z
Hospital Charge Code 2227
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047L05Z
Hospital Charge Code 2228
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047L06Z
Hospital Charge Code 2229
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047L07Z
Hospital Charge Code 2230
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047L341
Hospital Charge Code 2231
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047L34Z
Hospital Charge Code 2232
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047L35Z
Hospital Charge Code 2233
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 047L36Z
Hospital Charge Code 2234
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00