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All Charges

Charge Type Setting Price  
Service Code ICD 025M0ZZ
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 041F0JK
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 041H0JF
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 04SN4ZZ
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 041C0K5
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 0WWD40Z
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 02UP0KZ
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 041C492
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 02UN07Z
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 02550ZZ
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 04100K4
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 02US3KZ
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 041D0JC
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 041E4JC
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 021V0ZR
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 041J4JB
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 02UA0JZ
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 06R047Z
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 04144Z5
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 03533ZZ
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 041F4JF
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 06BJ0ZZ
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 03R447Z
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 03UU07Z
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00
Service Code ICD 041C0AG
Min. Negotiated Rate $7,205.00
Max. Negotiated Rate $10,022.00
Rate for Payer: Blue Shield of California Commercial $10,022.00
Rate for Payer: Blue Shield of California EPN $7,205.00