Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 027R34T
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 025F0ZZ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 02H743Z
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 03SM4ZZ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 02124JF
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 021K0KQ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 02UP3KZ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 02104A8
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 041D4J3
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 02WM0JZ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 021V0ZQ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 04144A4
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 04100A6
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 04100ZH
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 021V4JR
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 041D0J2
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 041C4K2
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 041F0KC
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 02160ZR
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 05B43ZZ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 041F499
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 02U738Z
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 04S13ZZ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 02FN4ZZ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 04B74ZZ
|
Min. Negotiated Rate |
$10,527.00 |
Max. Negotiated Rate |
$34,005.88 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|