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Charge Type Setting Price  
Hospital Charge Code 1758
Min. Negotiated Rate $8,623.00
Max. Negotiated Rate $8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,623.00
Hospital Charge Code 3882
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 3883
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 3884
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 3885
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 3886
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 1759
Min. Negotiated Rate $8,623.00
Max. Negotiated Rate $8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,623.00
Hospital Charge Code 1760
Min. Negotiated Rate $8,623.00
Max. Negotiated Rate $8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,623.00
Hospital Charge Code 1761
Min. Negotiated Rate $8,623.00
Max. Negotiated Rate $8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,623.00
Hospital Charge Code 1762
Min. Negotiated Rate $8,623.00
Max. Negotiated Rate $8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,623.00
Hospital Charge Code 3887
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 3888
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 3889
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 3890
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 3891
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 1763
Min. Negotiated Rate $8,623.00
Max. Negotiated Rate $8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,623.00
Hospital Charge Code 1764
Min. Negotiated Rate $8,623.00
Max. Negotiated Rate $8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,623.00
Hospital Charge Code 1765
Min. Negotiated Rate $8,623.00
Max. Negotiated Rate $8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,623.00
Hospital Charge Code 1766
Min. Negotiated Rate $8,623.00
Max. Negotiated Rate $8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,623.00
Hospital Charge Code 3892
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 3893
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 3894
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 3895
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 3896
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 1767
Min. Negotiated Rate $8,623.00
Max. Negotiated Rate $8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,623.00