Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 04UC37Z
|
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 025J0ZZ
|
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 041D0Z8
|
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 04104A1
|
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 041J4AD
|
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 02PA0KZ
|
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 04RE47Z
|
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 06573ZZ
|
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 04S73ZZ
|
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 02WY3DZ
|
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 04UV07Z
|
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 041D0JF
|
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 02110KF
|
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 051649Y
|
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 021009W
|
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 02HW4DZ
|
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 04RH0KZ
|
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 04144A4
|
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 06U137Z
|
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 02U94JZ
|
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 041D4Z4
|
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 04RJ07Z
|
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 041D09B
|
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 041J49G
|
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 041J49H
|
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
|
|