|
Laparoscopic Surgery
|
Facility
IP
|
$10,600.00
|
|
|
Service Code
|
ICD 011178ZZ
|
| 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 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 01J578ZZ
|
| 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 0UMI4ZZ
|
| 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 0YU54KZ
|
| 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 0FC58ZZ
|
| 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 0FND4ZZ
|
| 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 0WJR0ZZ
|
| 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 0FNF4ZZ
|
| 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 0UW343Z
|
| 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 0FNG4ZZ
|
| 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 0BQS4ZZ
|
| 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 0FJB4ZZ
|
| 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 0TN34ZZ
|
| 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 0TN44ZZ
|
| 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 0WJR4ZZ
|
| 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 0YU647Z
|
| 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 0YU64JZ
|
| 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 0DTK4ZZ
|
| 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 0WCPOZZ
|
| 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 0DBM4ZZ
|
| Min. Negotiated Rate |
$10,600.00 |
| Max. Negotiated Rate |
$10,600.00 |
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.00
|
|
