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All Charges

Charge Type Price  
Service Code ICD 0VT06ZZ
Min. Negotiated Rate $25,108.00
Max. Negotiated Rate $25,108.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $25,108.00
Service Code ICD 0JH73GZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 0VT33ZZ
Min. Negotiated Rate $25,108.00
Max. Negotiated Rate $25,108.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $25,108.00
Service Code ICD 0VT05ZZ
Min. Negotiated Rate $25,108.00
Max. Negotiated Rate $25,108.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $25,108.00
Service Code ICD 0VT07ZZ
Min. Negotiated Rate $25,108.00
Max. Negotiated Rate $25,108.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $25,108.00
Service Code ICD 0JH73LZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 0JH73DZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 0JH73EZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 0JH73FZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 0JH63DZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 0VT04ZZ
Min. Negotiated Rate $25,108.00
Max. Negotiated Rate $25,108.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $25,108.00
Service Code ICD 4A028N6
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
Service Code ICD 0JH73JZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 0VT01ZZ
Min. Negotiated Rate $25,108.00
Max. Negotiated Rate $25,108.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $25,108.00
Service Code ICD 0VT34ZZ
Min. Negotiated Rate $25,108.00
Max. Negotiated Rate $25,108.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $25,108.00
Service Code ICD 0JH73KZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 0JH73HZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 0VT32ZZ
Min. Negotiated Rate $25,108.00
Max. Negotiated Rate $25,108.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $25,108.00
Service Code ICD 0JH73CZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 0JH63CZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 0JH63EZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 0JH73IZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 0VT03ZZ
Min. Negotiated Rate $25,108.00
Max. Negotiated Rate $25,108.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $25,108.00
Service Code ICD 0VT02ZZ
Min. Negotiated Rate $25,108.00
Max. Negotiated Rate $25,108.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $25,108.00
Service Code ICD 0VT08ZZ
Min. Negotiated Rate $25,108.00
Max. Negotiated Rate $25,108.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $25,108.00