Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG14K0
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG14K1
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG14KJ
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG207J
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG237J
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG23K0
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG23K1
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG23KJ
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG2471
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG24JJ
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG24K0
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG24K1
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG24KJ
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG40AJ
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG40J0
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG40J1
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG40JJ
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG43JJ
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG6070
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG63JJ
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG7370
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG74A0
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG74J0
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG74J1
|
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
|
|
Spine Surgery
|
Facility
IP
|
$19,930.00
|
|
Service Code
|
ICD 0RG74JJ
|
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
|
|