Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 03C73ZZ
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 04CV3ZZ
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD B223Z2Z
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 04U04JZ
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 06100JR
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 021V48T
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 061049Q
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD X2C2361
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 02HK4YZ
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 02H400Z
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 04C53ZZ
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 021X4ZP
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 0JH83AZ
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 04V03EZ
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 0JH63FZ
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 02H04YZ
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 06100KP
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 021X4JA
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 021V0AT
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 04CE3ZZ
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 021V4AU
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 04CM3ZZ
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 021V4JS
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 021V0KS
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|
Cardiovascular Surgery - #2075
|
Facility
IP
|
$9,881.00
|
|
Service Code
|
ICD 02H630Z
|
Min. Negotiated Rate |
$9,881.00 |
Max. Negotiated Rate |
$9,881.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,881.00
|
|