|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JPT0MZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH70IZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH70JZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JPT3MZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH73HZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH73GZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH73BZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH80MZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH70HZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH70KZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH70GZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH60MZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH60DZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH60CZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0DH64MZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0DH63MZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH80BZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH73LZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH83BZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH73KZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH70EZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD OJH60EZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH80EZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 00H00MZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH80DZ
|
| Min. Negotiated Rate |
$27,133.00 |
| Max. Negotiated Rate |
$27,133.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
|
