|
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 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
|
$7,918.00
|
|
|
Service Code
|
ICD 4A027N7
|
| Min. Negotiated Rate |
$7,918.00 |
| Max. Negotiated Rate |
$7,918.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,918.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$7,918.00
|
|
|
Service Code
|
ICD 4A028N6
|
| Min. Negotiated Rate |
$7,918.00 |
| Max. Negotiated Rate |
$7,918.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,918.00
|
|
|
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 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 B2041ZZ
|
| 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 B215YZZ
|
| 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
|
$7,918.00
|
|
|
Service Code
|
ICD 4A027N8
|
| Min. Negotiated Rate |
$7,918.00 |
| Max. Negotiated Rate |
$7,918.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,918.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2061ZZ
|
| 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 B2180ZZ
|
| 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 B201YZZ
|
| 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 B2010ZZ
|
| 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
|
$7,918.00
|
|
|
Service Code
|
ICD 4A028N7
|
| Min. Negotiated Rate |
$7,918.00 |
| Max. Negotiated Rate |
$7,918.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,918.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2100ZZ
|
| 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 4A023N6
|
| 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 B210YZZ
|
| 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 B207YZZ
|
| 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 B212YZZ
|
| 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 B2131ZZ
|
| 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
|
|
