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Charge Type Setting Price  
Hospital Charge Code 1504
Min. Negotiated Rate $129,104.00
Max. Negotiated Rate $129,104.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $129,104.00
Hospital Charge Code 1505
Min. Negotiated Rate $12,567.00
Max. Negotiated Rate $12,567.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $12,567.00
Hospital Charge Code 1506
Min. Negotiated Rate $12,567.00
Max. Negotiated Rate $12,567.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $12,567.00
Hospital Charge Code 1507
Min. Negotiated Rate $14,428.00
Max. Negotiated Rate $14,428.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $14,428.00
Hospital Charge Code 1509
Min. Negotiated Rate $129,104.00
Max. Negotiated Rate $129,104.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $129,104.00
Hospital Charge Code 1508
Min. Negotiated Rate $129,104.00
Max. Negotiated Rate $129,104.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $129,104.00
Hospital Charge Code 1510
Min. Negotiated Rate $129,104.00
Max. Negotiated Rate $129,104.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $129,104.00
Hospital Charge Code 1511
Min. Negotiated Rate $129,104.00
Max. Negotiated Rate $129,104.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $129,104.00
Hospital Charge Code 1512
Min. Negotiated Rate $129,104.00
Max. Negotiated Rate $129,104.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $129,104.00
Hospital Charge Code 1513
Min. Negotiated Rate $12,567.00
Max. Negotiated Rate $12,567.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $12,567.00
Hospital Charge Code 1514
Min. Negotiated Rate $12,567.00
Max. Negotiated Rate $12,567.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $12,567.00
Hospital Charge Code 1515
Min. Negotiated Rate $14,428.00
Max. Negotiated Rate $14,428.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $14,428.00
Hospital Charge Code 1516
Min. Negotiated Rate $129,104.00
Max. Negotiated Rate $129,104.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $129,104.00
Hospital Charge Code 1517
Min. Negotiated Rate $129,104.00
Max. Negotiated Rate $129,104.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $129,104.00
Hospital Charge Code 1518
Min. Negotiated Rate $129,104.00
Max. Negotiated Rate $129,104.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $129,104.00
Hospital Charge Code 1519
Min. Negotiated Rate $129,104.00
Max. Negotiated Rate $129,104.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $129,104.00
Hospital Charge Code 1520
Min. Negotiated Rate $129,104.00
Max. Negotiated Rate $129,104.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $129,104.00
Hospital Charge Code 1521
Min. Negotiated Rate $12,567.00
Max. Negotiated Rate $12,567.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $12,567.00
Hospital Charge Code 1522
Min. Negotiated Rate $14,428.00
Max. Negotiated Rate $14,428.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $14,428.00
Hospital Charge Code 1523
Min. Negotiated Rate $12,567.00
Max. Negotiated Rate $12,567.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $12,567.00
Hospital Charge Code 1524
Min. Negotiated Rate $12,567.00
Max. Negotiated Rate $12,567.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $12,567.00
Hospital Charge Code 1525
Min. Negotiated Rate $12,567.00
Max. Negotiated Rate $12,567.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $12,567.00
Hospital Charge Code 1526
Min. Negotiated Rate $12,567.00
Max. Negotiated Rate $12,567.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $12,567.00
Hospital Charge Code 1527
Min. Negotiated Rate $12,567.00
Max. Negotiated Rate $12,567.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $12,567.00
Hospital Charge Code 1528
Min. Negotiated Rate $12,567.00
Max. Negotiated Rate $12,567.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $12,567.00