|
Spinal and Other Neurostimulators (IP) - #2066
|
Facility
IP
|
$27,133.00
|
|
|
Service Code
|
ICD 0JH73FZ
|
| 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 0JH73DZ
|
| 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 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 0JH73EZ
|
| 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 0JH83EZ
|
| 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 0JH73CZ
|
| 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 0DH60MZ
|
| 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 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 0JH70MZ
|
| 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 0JH60BZ
|
| 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 0JH70FZ
|
| 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 0JH83MZ
|
| 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 01HY4MZ
|
| 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 0JH63BZ
|
| 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 01HY3MZ
|
| 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 00H60MZ
|
| 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 01HY0MZ
|
| 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 0JH63EZ
|
| 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 00HE4MZ
|
| 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 0JH83CZ
|
| 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 0JH70LZ
|
| 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 0JH70DZ
|
| 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
|
|
