|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 027046Z
|
| 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 047605Z
|
| 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 037Y34Z
|
| 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 02U137Z
|
| 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 021708P
|
| 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 037U04Z
|
| 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 047C35Z
|
| 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 0271466
|
| 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 021W4ZA
|
| 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 037934Z
|
| 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 037Q44Z
|
| 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 02714EZ
|
| 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 02U307Z
|
| 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 037736Z
|
| 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 0473341
|
| 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 027346Z
|
| 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 047246Z
|
| 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 047245Z
|
| 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 047507Z
|
| 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 047144Z
|
| 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 02HA0YZ
|
| 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 021V0ZS
|
| 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 037844Z
|
| 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 037334Z
|
| 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 0JH63FZ
|
| 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
|
|
