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All Charges

Charge Type Setting Price  
Service Code ICD 06SD3ZZ
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 041J4ZH
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 04580ZZ
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 041E4ZP
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 041E49K
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 05104AY
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 02WA0RZ
Min. Negotiated Rate $10,527.00
Max. Negotiated Rate $334,691.00
Rate for Payer: Blue Shield of California Commercial $14,669.00
Rate for Payer: Blue Shield of California EPN $10,527.00
Rate for Payer: United Healthcare All Other Commercial $334,691.00
Rate for Payer: United Healthcare All Other HMO $296,270.00
Rate for Payer: United Healthcare HMO Rider $225,043.00
Rate for Payer: United Healthcare Select/Navigate/Core $205,783.00
Service Code ICD 02UH4JZ
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 04100JC
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 041C096
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 03U407Z
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 03R14JZ
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 02UP08Z
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 02174AQ
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 02100Z9
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 06RH4JZ
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 041J4AK
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 02PA47Z
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 05164KY
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 04RE0KZ
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 041C4K4
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 02BN4ZZ
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 041C4A2
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 02WA4QZ
Min. Negotiated Rate $10,527.00
Max. Negotiated Rate $334,691.00
Rate for Payer: Blue Shield of California Commercial $14,669.00
Rate for Payer: Blue Shield of California EPN $10,527.00
Rate for Payer: United Healthcare All Other Commercial $334,691.00
Rate for Payer: United Healthcare All Other HMO $296,270.00
Rate for Payer: United Healthcare HMO Rider $225,043.00
Rate for Payer: United Healthcare Select/Navigate/Core $205,783.00
Service Code ICD 021V4KR
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