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All Charges

Charge Type Setting Price  
Service Code ICD 06S53ZZ
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 021W0KB
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 041C0ZK
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 02QC3ZZ
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 04100JJ
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 02PA08Z
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 02WY0DZ
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 06R00KZ
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 03SV0ZZ
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 041D4J3
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 041C092
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 02NG0ZZ
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 041J49D
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 041F0A9
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 02B40ZZ
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 041C0Z9
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 041H0ZH
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 041E4KG
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 05140AY
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 04R547Z
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 02NH0ZZ
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 03R407Z
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 04140A5
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 06U547Z
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 02RW08Z
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