|
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 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 02C03ZZ
|
| 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 02733DZ
|
| 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 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 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 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 02C24ZZ
|
| 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 02724ZZ
|
| 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 02C14ZZ
|
| 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 027244Z
|
| 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 02734TZ
|
| 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 027H44Z
|
| 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 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 02723ZZ
|
| 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 02713TZ
|
| 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 02C04ZZ
|
| 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 027F34Z
|
| 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 0272446
|
| 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 02723T6
|
| 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 02733ZZ
|
| 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
|
|
