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Charge Type Price  
Service Code ICD B2151ZZ
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
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
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
Service Code ICD B2030ZZ
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
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
Service Code ICD B2000ZZ
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
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
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
Service Code ICD B202YZZ
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
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
Service Code ICD B2101ZZ
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
Service Code ICD B2160ZZ
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
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
Service Code ICD B205YZZ
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
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
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
Service Code ICD B216YZZ
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
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
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
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
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
Service Code ICD B204YZZ
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
Service Code ICD B2001ZZ
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
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
Service Code ICD B2060ZZ
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