Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 02704D6
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 02714T6
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 0271446
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 027J3DZ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 02703Z6
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 02703T6
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 0271346
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 027234Z
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 027H3ZZ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 02734D6
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 02724Z6
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 0270346
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 027J34Z
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 02714D6
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 02723D6
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 027G3DZ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 02723DZ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 02733Z6
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 02703DZ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 02704DZ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 027F3DZ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 027H4DZ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 027344Z
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 027F4ZZ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 02713ZZ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$14,669.00 |
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|