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Charge Type Price  
Service Code ICD 047R0DZ
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 047W4FZ
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 02724TZ
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 047U4D1
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 03743EZ
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 037V0D6
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 037G34Z
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 047N4DZ
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 047P0D1
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 03720D6
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 047S3DZ
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 047T0D6
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 047T0DZ
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 047U4EZ
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 047V4EZ
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 047V4FZ
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 047W0FZ
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 047W4DZ
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 05753D1
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 05793D1
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 05733DZ
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 057Y3DZ
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 067H0DZ
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 047J3D6
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 05793DZ
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