Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B200YZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B214YZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B212YZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B2160ZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B2080ZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B2020ZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B2021ZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B2011ZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B2180ZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B21FYZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B218YZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B2151ZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B2101ZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B2170ZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD 4A023N7
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,918.00
|
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B2061ZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B2150ZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B2010ZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B206YZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B2181ZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B211YZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B207YZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B2050ZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B2161ZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B2120ZZ
|
Min. Negotiated Rate |
$4,982.00 |
Max. Negotiated Rate |
$12,471.00 |
Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|