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Charge Type Setting Price  
Service Code ICD 02BT0ZZ
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 02RW0KZ
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 041F0KG
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 041C099
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 041J499
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 041H0A9
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 041E4KG
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 02WA3JZ
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 041H4JQ
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 02710TZ
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 04B30ZZ
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 02H43DZ
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 04UD37Z
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 06SG3ZZ
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 02100J9
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 041H0AG
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 041H4AC
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 06553ZZ
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 041E0ZB
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 02170ZP
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 02Q60ZZ
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 041C0Z0
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 05SB0ZZ
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 04C00ZZ
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 04100J7
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