|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 02U047Z
|
| 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 037K06Z
|
| 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 02U038Z
|
| 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 037Y06Z
|
| 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 037347Z
|
| 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 02HK4YZ
|
| 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 037845Z
|
| 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 02C30Z6
|
| 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 021X0JP
|
| 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 02WA4YZ
|
| 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 02H730Z
|
| 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 037R07Z
|
| 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 027R34Z
|
| 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 027037Z
|
| 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 037435Z
|
| 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 047735Z
|
| 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 037K05Z
|
| 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 037507Z
|
| 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 047634Z
|
| 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 02C10Z6
|
| 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 037C06Z
|
| 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 0476341
|
| 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 0471341
|
| 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 047C441
|
| 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 037P47Z
|
| 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
|
|
