Percutaneous Cardiovascular Procedure (PTCA)
|
Facility
IP
|
$14,669.00
|
|
Service Code
|
ICD 027G4ZZ
|
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 02C34ZZ
|
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 02734ZZ
|
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 02703D6
|
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 027034Z
|
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 02704Z6
|
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 02723TZ
|
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 0270446
|
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 02714DZ
|
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 02734Z6
|
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 027J3ZZ
|
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 02C23ZZ
|
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 027H34Z
|
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 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 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 02724DZ
|
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 027H4ZZ
|
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 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 02714ZZ
|
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
|
|