|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0DTE4ZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD E0X0CZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0WCJ0ZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0DJU4ZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0D9T0ZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0U998ZX
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0FC84ZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0UT64ZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0DN84ZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0UQ04ZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0TNC4ZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0D164K8
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 8E097CZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0DTP4ZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0BUS4JZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0FN94ZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0UB93ZX
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0UB24ZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0FN24ZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD CDJD0ZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD BF10YZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0DN94ZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0TN64ZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0UB48ZX
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0FN54ZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
