|
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 02714TZ
|
| 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 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 02723Z6
|
| 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 0273446
|
| 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 027F44Z
|
| 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 0272346
|
| 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 027G34Z
|
| 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 02713T6
|
| 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 02704T6
|
| 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 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 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 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 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 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 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 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 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 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 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 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 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
|
|
