|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2171ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD 4A023N7
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,918.00
|
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2140ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2170ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2111ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B211YZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2141ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2110ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2181ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2081ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD 4A020N7
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,918.00
|
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2040ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B208YZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B20F0ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2020ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2070ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2031ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2051ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD 4A020N6
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,918.00
|
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2071ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B214YZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2120ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B200YZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B21FYZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B21F1ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
