Coronary Surgery
|
Facility
IP
|
$34,005.88
|
|
Service Code
|
ICD 05ST3ZZ
|
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 065H3ZZ
|
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 02H743Z
|
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 041D0AB
|
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 02H74KZ
|
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 03514ZZ
|
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 02BD4ZZ
|
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 021L0ZQ
|
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 02124AC
|
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 0213499
|
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 0213098
|
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 03U547Z
|
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 02UT47Z
|
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 02HK0DZ
|
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 02HK0KZ
|
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 05UR37Z
|
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 04UP47Z
|
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 02HL42Z
|
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 02HL43Z
|
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 02RG0KZ
|
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 05SC3ZZ
|
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 041C4Z8
|
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 02120AW
|
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 02104ZF
|
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 02WH48Z
|
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
|
|