Cardiac Catheterization
|
Facility
|
IP
|
$12,471.00
|
|
Service Code
|
ICD B215YZZ
|
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 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
|
$7,918.00
|
|
Service Code
|
ICD 4A027N6
|
Min. Negotiated Rate |
$7,918.00 |
Max. Negotiated Rate |
$7,918.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,918.00
|
|
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 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 4A020N8
|
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 B205YZZ
|
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 B20F1ZZ
|
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 B2140ZZ
|
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 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
|
|
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 B21F0ZZ
|
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 B2130ZZ
|
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 B2121ZZ
|
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 B21F1ZZ
|
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 B2060ZZ
|
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 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 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 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 4A023N6
|
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 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
|
|