|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 021V0KS
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 02VG3ZZ
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 02UF07J
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 02HS40Z
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 02HK0MZ
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 02VG4ZZ
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 02H640Z
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 02U048Z
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 02C33Z6
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 04C93ZZ
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 027W44Z
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 027045Z
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 037A44Z
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 037Q35Z
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 061007Q
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 047M04Z
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 037K35Z
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 02734F6
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 02WJ38Z
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 4A143B3
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 037735Z
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 061047Q
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 037C05Z
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 03CM3Z7
|
| 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
|
|
|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 047A44Z
|
| 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
|
|
