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Charge Type Setting Price  
Service Code ICD 02UD08Z
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
Service Code ICD 02UD48Z
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
Service Code ICD 041J0JJ
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
Service Code ICD 06UC07Z
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
Service Code ICD 02UM47Z
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
Service Code ICD 05UA47Z
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
Service Code ICD 04BF3ZZ
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
Service Code ICD 041H0ZJ
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
Service Code ICD 04104KC
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
Service Code ICD 05SA0ZZ
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
Service Code ICD 02QM4ZZ
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
Service Code ICD 02RG0JZ
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
Service Code ICD 041C0AQ
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
Service Code ICD 041F099
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
Service Code ICD 041F4JC
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
Service Code ICD 02PY4JZ
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
Service Code ICD 06B03ZZ
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
Service Code ICD 02174ZR
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
Service Code ICD 021L4ZF
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
Service Code ICD 02RV48Z
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
Service Code ICD 03UT37Z
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
Service Code ICD 05S83ZZ
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
Service Code ICD 05SQ3ZZ
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
Service Code ICD 02BF0ZZ
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
Service Code ICD 041J0AQ
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