|
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 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 02713Z6
|
| 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 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 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 027334Z
|
| 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 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 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 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 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 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 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 0273346
|
| 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 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 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 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 027134Z
|
| 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 027G3ZZ
|
| 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 027F3ZZ
|
| 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 02704ZZ
|
| 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
|
|
