Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 009X0ZZ
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 009X4ZZ
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 009Y00Z
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 009Y30Z
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 009Y3ZZ
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00CY4ZZ
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$27,133.00
|
|
Service Code
|
ICD 00HV3MZ
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$27,133.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,133.00
|
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00HV42Z
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00WU33Z
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00NT0ZZ
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00NT3ZZ
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00NT4ZZ
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00NW0ZZ
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00NX3ZZ
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00NX4ZZ
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00NY0ZZ
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00NY3ZZ
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00NY4ZZ
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00PU30Z
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00PU32Z
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00PU33Z
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00QT0ZZ
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00QT3ZZ
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00QX0ZZ
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 00QX3ZZ
|
Min. Negotiated Rate |
$17,082.00 |
Max. Negotiated Rate |
$19,930.00 |
Rate for Payer: Blue Shield of California Commercial |
$19,930.00
|
Rate for Payer: Blue Shield of California EPN |
$17,082.00
|
|