|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0QRF3JZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0SWT4JZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0QUD3JZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0SWD4JC
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0SUD09C
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0SRC0LA
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0QPD0JZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0SWU4JZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0SPC0JZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0SRC0LZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0SWU3JZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0QRD3JZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0QPF0JZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0QUD4JZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0SPC48Z
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0QRF4JZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0QPD4JZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0SWW4JZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0SWV3JZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0SWV0JZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0SRC0L9
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0SPD4JZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0QPD3JZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0SPD48Z
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
|
Knee Implant - #2072
|
Facility
IP
|
$8,448.00
|
|
|
Service Code
|
ICD 0QUF4JZ
|
| Min. Negotiated Rate |
$8,448.00 |
| Max. Negotiated Rate |
$8,448.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,448.00
|
|
