|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0SWK4JZ
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0SR902A
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0SRS01Z
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0SRS01A
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0RRG0JZ
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0SRE03A
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0SR9029
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0RRE0JZ
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0SRM0KZ
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0SWP4JZ
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0SRB04Z
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0SRC0JZ
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0SRE039
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0SRT07Z
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0SRD0JZ
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0SRV0KZ
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0RRK0JZ
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0RRN0JZ
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0SRJ07Z
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0SWQ4JZ
|
| 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
|
|
|
Joint Surgery
|
Facility
IP
|
$22,635.00
|
|
|
Service Code
|
ICD 0SWD3JZ
|
| 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
|
|
