|
Cardiovascular Surgery - #2635
|
Facility
IP
|
$11,541.00
|
|
|
Service Code
|
ICD 047436Z
|
| 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 037F06Z
|
| 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 037B45Z
|
| 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 0213083
|
| 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 02U208Z
|
| 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 037U07Z
|
| 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 0273376
|
| 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 037K07Z
|
| 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 037F35Z
|
| 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 021648Q
|
| 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 0272466
|
| 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 037606Z
|
| 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 0473041
|
| 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 02PA0QZ
|
| 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 02H60YZ
|
| 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 037847Z
|
| 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 047604Z
|
| 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 037R44Z
|
| 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 02UJ4JG
|
| 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 02N30ZZ
|
| 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 02710EZ
|
| 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 047L44Z
|
| 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 037P46Z
|
| 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 0270066
|
| 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 047906Z
|
| 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
|
|
