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All Charges

Charge Type Price  
Service Code ICD 037U4EZ
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 047J0D6
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 057A4D1
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 03770D6
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 02723T6
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $19,726.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Rate for Payer: Blue Shield of California Commercial $19,726.00
Rate for Payer: Blue Shield of California EPN $16,911.00
Rate for Payer: Heritage Provider Network Commercial $4,968.00
Rate for Payer: Heritage Provider Network Senior $4,519.00
Service Code ICD 05750DZ
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 05744DZ
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 05744D1
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 047W0D1
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 047V4GZ
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 047V3FZ
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 047V0DZ
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 047M4GZ
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 047M4FZ
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 047H3EZ
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 037Y0GZ
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 047H3DZ
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 047H3D6
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 04784D1
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 04723EZ
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 047U0D6
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 037R0GZ
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 037R0DZ
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 037Q3D6
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00
Service Code ICD 037Q0FZ
Min. Negotiated Rate $3,588.00
Max. Negotiated Rate $3,588.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,588.00