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Charge Type Setting Price  
Service Code ICD 06SY4ZZ
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 041D0A1
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 05100ZY
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 041J4AB
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 06S84ZZ
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 06SS4ZZ
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 0JH808Z
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 041E49P
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 0WFD4ZZ
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 04R84JZ
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 041F0AH
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 02UN4KZ
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 04BA0ZZ
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 021W49B
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 05503ZZ
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 06SM0ZZ
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 041E4AP
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 04100J4
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 02PY4CZ
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 0WPD03Z
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 04UJ37Z
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 04594ZZ
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 0WFD0ZZ
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 05B14ZZ
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 041H09G
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