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All Charges

Charge Type Price  
Service Code ICD 0SRP0JZ
Min. Negotiated Rate $19,401.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0RRJ0JZ
Min. Negotiated Rate $19,401.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0SRD0J9
Min. Negotiated Rate $19,401.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0SWH0JZ
Min. Negotiated Rate $19,401.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0RRN0KZ
Min. Negotiated Rate $19,401.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0SRA009
Min. Negotiated Rate $7,368.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $7,368.00
Service Code ICD 0SRG0JA
Min. Negotiated Rate $19,401.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0SRH0KZ
Min. Negotiated Rate $19,401.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0SRE0J9
Min. Negotiated Rate $7,368.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $7,368.00
Service Code ICD 0SRL07Z
Min. Negotiated Rate $19,401.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0SRV0JZ
Min. Negotiated Rate $8,448.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,448.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0SRG0KZ
Min. Negotiated Rate $19,401.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0RRP0JZ
Min. Negotiated Rate $19,401.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0SRK0JZ
Min. Negotiated Rate $19,401.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0SRB02Z
Min. Negotiated Rate $10,175.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,175.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0RRJ0J7
Min. Negotiated Rate $19,401.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0SRB039
Min. Negotiated Rate $7,368.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,175.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $7,368.00
Service Code ICD 0SRB03A
Min. Negotiated Rate $19,401.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0SRB03Z
Min. Negotiated Rate $19,401.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0SRV0JA
Min. Negotiated Rate $8,448.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,448.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0SRA01A
Min. Negotiated Rate $7,368.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $7,368.00
Service Code ICD 0RRF0KZ
Min. Negotiated Rate $19,401.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0RRL07Z
Min. Negotiated Rate $19,401.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0RRM0JZ
Min. Negotiated Rate $19,401.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Service Code ICD 0SRA03A
Min. Negotiated Rate $7,368.00
Max. Negotiated Rate $22,635.00
Rate for Payer: Blue Shield of California Commercial $22,635.00
Rate for Payer: Blue Shield of California EPN $19,401.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $7,368.00