|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 0WJF4ZZ
|
| 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 0WCROZZ
|
| 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 0DBL4ZZ
|
| 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 8E098C2
|
| 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 0UN54ZZ
|
| 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 8ECXXCZ
|
| 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 0UN24ZZ
|
| 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 0UTC4ZZ
|
| 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 0WJG0ZZ
|
| 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 0WJP4ZZ
|
| 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 00164Z9
|
| 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 0WUF472
|
| 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 0WUF47Z
|
| 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 0D9W0ZZ
|
| 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 0DNC4ZZ
|
| 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 0DTL4ZZ
|
| 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 0DTM4ZZ
|
| 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 0D9SD0Z
|
| 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 0UQ14ZZ
|
| 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 0UC14ZZ
|
| 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 0UB98ZX
|
| 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 0UB14ZZ
|
| 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 0TN14ZZ
|
| 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 0US04ZZ
|
| 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
|
|
