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All Charges

Charge Type Price  
Service Code ICD 0SG00A0
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
Service Code ICD 00UT4KZ
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
Service Code ICD 0SG0070
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
Service Code ICD 00QY0ZZ
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
Service Code ICD 0SB64ZZ
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
Service Code ICD 0SB44ZZ
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
Service Code ICD 0RT90ZZ
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
Service Code ICD 0RGA4KJ
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
Service Code ICD 0RGA0K0
Min. Negotiated Rate $13,963.00
Max. Negotiated Rate $19,930.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,963.00
Rate for Payer: Blue Shield of California Commercial $19,930.00
Rate for Payer: Blue Shield of California EPN $17,082.00
Service Code ICD 00BX0ZZ
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
Service Code ICD 0RG837J
Min. Negotiated Rate $13,963.00
Max. Negotiated Rate $19,930.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,963.00
Rate for Payer: Blue Shield of California Commercial $19,930.00
Rate for Payer: Blue Shield of California EPN $17,082.00
Service Code ICD 0RG74K0
Min. Negotiated Rate $13,963.00
Max. Negotiated Rate $19,930.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,963.00
Rate for Payer: Blue Shield of California Commercial $19,930.00
Rate for Payer: Blue Shield of California EPN $17,082.00
Service Code ICD 009X30Z
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
Service Code ICD 009W4ZZ
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
Service Code ICD 009T00Z
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
Service Code ICD 0RG647J
Min. Negotiated Rate $13,963.00
Max. Negotiated Rate $19,930.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,963.00
Rate for Payer: Blue Shield of California Commercial $19,930.00
Rate for Payer: Blue Shield of California EPN $17,082.00
Service Code ICD 0RG44AJ
Min. Negotiated Rate $13,963.00
Max. Negotiated Rate $19,930.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,963.00
Rate for Payer: Blue Shield of California Commercial $19,930.00
Rate for Payer: Blue Shield of California EPN $17,082.00
Service Code ICD 0RG24A0
Min. Negotiated Rate $13,963.00
Max. Negotiated Rate $19,930.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,963.00
Rate for Payer: Blue Shield of California Commercial $19,930.00
Rate for Payer: Blue Shield of California EPN $17,082.00
Service Code ICD 0RG1371
Min. Negotiated Rate $13,963.00
Max. Negotiated Rate $19,930.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,963.00
Rate for Payer: Blue Shield of California Commercial $19,930.00
Rate for Payer: Blue Shield of California EPN $17,082.00
Service Code ICD 0RG10K0
Min. Negotiated Rate $13,963.00
Max. Negotiated Rate $19,930.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,963.00
Rate for Payer: Blue Shield of California Commercial $19,930.00
Rate for Payer: Blue Shield of California EPN $17,082.00
Service Code ICD 0RB43ZZ
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
Service Code ICD 0RB33ZZ
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
Service Code ICD 0PS444Z
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
Service Code ICD 01580ZZ
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
Service Code ICD 01510ZZ
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