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Charge Type Setting Price  
Service Code ICD 05U047Z
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 02110Z9
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 041E4ZK
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 04U047Z
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 0WWD30Z
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 041D0K7
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 02R607Z
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 06U137Z
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 02170KR
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 051049Y
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 041H4ZB
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 041H0KK
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 05R047Z
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 02170JR
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 041F0ZP
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 041C0J3
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 027G0DZ
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 041C0AB
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 06BD4ZZ
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 041C0KD
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 065B4ZZ
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 041F49B
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 021L0Z8
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 0WHD43Z
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 041H4KF
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