Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 03530ZZ
|
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 041D4KC
|
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 041J4JB
|
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 041D49J
|
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 041H49G
|
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 041H0ZC
|
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 041F0KD
|
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 0414494
|
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 021K4KR
|
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 041J49J
|
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 02U507Z
|
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 04104A9
|
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 02130K8
|
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 06U747Z
|
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 04R04KZ
|
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 04U807Z
|
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 04UR47Z
|
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 06R64JZ
|
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 03ST3ZZ
|
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 03U647Z
|
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 04B14ZZ
|
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 05UB37Z
|
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 03533ZZ
|
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 03SQ4ZZ
|
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 02CL3ZZ
|
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
|
|