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Charge Type Price  
Service Code CPT J3490
Hospital Charge Code NDG223020
Hospital Revenue Code 636
Min. Negotiated Rate $3.04
Max. Negotiated Rate $12.60
Rate for Payer: Adventist Health Commercial $3.36
Rate for Payer: Aetna of CA Non-Gatekeeper $11.54
Rate for Payer: Cash Price $7.56
Rate for Payer: Cigna of CA HMO/PPO $7.73
Rate for Payer: EPIC Health Plan Commercial $9.07
Rate for Payer: Heritage Provider Network Commercial $11.37
Rate for Payer: Heritage Provider Network Senior $11.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3.04
Rate for Payer: LLUH Dept of Risk Management WC $4.20
Rate for Payer: Multiplan Commercial $12.60
Rate for Payer: United Healthcare All Other HMO/non HMO $6.13
Rate for Payer: United Healthcare Navigate/Select/Select+ $5.61
Service Code CPT J3490
Hospital Charge Code NDG223020
Hospital Revenue Code 636
Min. Negotiated Rate $3.04
Max. Negotiated Rate $14.28
Rate for Payer: Adventist Health Commercial $3.36
Rate for Payer: Aetna of CA Gatekeeper $8.98
Rate for Payer: Aetna of CA Non-Gatekeeper $11.54
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $14.28
Rate for Payer: AlphaCare Medical Group Medi-Cal $9.24
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $12.60
Rate for Payer: Blue Shield of California Commercial $10.43
Rate for Payer: Blue Shield of California EPN $9.86
Rate for Payer: Cash Price $7.56
Rate for Payer: Cigna of CA HMO/PPO $7.73
Rate for Payer: Dignity Health Commercial/Exchange $14.28
Rate for Payer: Dignity Health Medi-Cal $14.28
Rate for Payer: Dignity Health Senior $14.28
Rate for Payer: EPIC Health Plan Commercial $10.75
Rate for Payer: Heritage Provider Network Commercial $7.78
Rate for Payer: Heritage Provider Network Senior $7.78
Rate for Payer: Kaiser Permanente of CA Commercial $8.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3.04
Rate for Payer: LLUH Dept of Risk Management WC $4.20
Rate for Payer: Multiplan Commercial $12.60
Rate for Payer: United Healthcare All Other HMO/non HMO $6.13
Rate for Payer: United Healthcare Navigate/Select/Select+ $5.61
Rate for Payer: Vantage Medical Group Medi-Cal $14.28
Rate for Payer: Vantage Medical Group Senior $14.28
Service Code CPT Q9968
Hospital Charge Code 1740332
Hospital Revenue Code 636
Min. Negotiated Rate $32.19
Max. Negotiated Rate $133.38
Rate for Payer: Adventist Health Commercial $35.57
Rate for Payer: Aetna of CA Non-Gatekeeper $122.18
Rate for Payer: Cash Price $80.03
Rate for Payer: Cigna of CA HMO/PPO $81.81
Rate for Payer: EPIC Health Plan Commercial $96.03
Rate for Payer: Heritage Provider Network Commercial $120.40
Rate for Payer: Heritage Provider Network Senior $120.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal $32.19
Rate for Payer: LLUH Dept of Risk Management WC $44.46
Rate for Payer: Multiplan Commercial $133.38
Rate for Payer: United Healthcare All Other HMO/non HMO $64.84
Rate for Payer: United Healthcare Navigate/Select/Select+ $59.42
Service Code CPT Q9968
Hospital Charge Code 1740332
Hospital Revenue Code 636
Min. Negotiated Rate $0.55
Max. Negotiated Rate $133.38
Rate for Payer: Adventist Health Commercial $35.57
Rate for Payer: Aetna of CA Gatekeeper $42.66
Rate for Payer: Aetna of CA Non-Gatekeeper $122.18
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $9.94
Rate for Payer: AlphaCare Medical Group Medi-Cal $8.74
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $8.74
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.55
Rate for Payer: Blue Shield of California Commercial $110.44
Rate for Payer: Blue Shield of California EPN $104.39
Rate for Payer: Cash Price $80.03
Rate for Payer: Cash Price $80.03
Rate for Payer: Cigna of CA HMO/PPO $81.81
Rate for Payer: Dignity Health Commercial/Exchange $11.92
Rate for Payer: Dignity Health Medi-Cal $8.74
Rate for Payer: Dignity Health Senior $8.74
Rate for Payer: EPIC Health Plan Commercial $113.82
Rate for Payer: EPIC Health Plan Medicare $7.95
Rate for Payer: Heritage Provider Network Commercial $82.34
Rate for Payer: Heritage Provider Network Senior $82.34
Rate for Payer: Humana Medicare $7.95
Rate for Payer: IEHP Medi-Cal $29.08
Rate for Payer: IEHP Medicare Advantage $7.95
Rate for Payer: Kaiser Permanente of CA Commercial $15.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal $32.19
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $9.38
Rate for Payer: LLUH Dept of Risk Management WC $44.46
Rate for Payer: Molina Healthcare of CA Medi-Cal $10.02
Rate for Payer: Molina Healthcare of CA Medicare $10.02
Rate for Payer: Multiplan Commercial $133.38
Rate for Payer: TriValley Medical Group Commercial $8.74
Rate for Payer: TriValley Medical Group Senior $7.95
Rate for Payer: United Healthcare All Other HMO/non HMO $64.84
Rate for Payer: United Healthcare Navigate/Select/Select+ $59.42
Rate for Payer: Vantage Medical Group Commercial/Exchange $11.92
Rate for Payer: Vantage Medical Group Medi-Cal $8.74
Rate for Payer: Vantage Medical Group Senior $7.95
Service Code CPT 86580
Hospital Charge Code NDG8259
Hospital Revenue Code 302
Min. Negotiated Rate $16.66
Max. Negotiated Rate $69.04
Rate for Payer: Adventist Health Commercial $18.41
Rate for Payer: Aetna of CA Non-Gatekeeper $63.24
Rate for Payer: Cash Price $41.42
Rate for Payer: Heritage Provider Network Commercial $62.32
Rate for Payer: Heritage Provider Network Senior $62.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal $16.66
Rate for Payer: LLUH Dept of Risk Management WC $23.01
Rate for Payer: Multiplan Commercial $69.04
Service Code CPT 86580
Hospital Charge Code NDG2224
Hospital Revenue Code 302
Min. Negotiated Rate $5.24
Max. Negotiated Rate $84.79
Rate for Payer: Adventist Health Commercial $22.61
Rate for Payer: Aetna of CA Gatekeeper $16.30
Rate for Payer: Aetna of CA Non-Gatekeeper $77.67
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $55.80
Rate for Payer: AlphaCare Medical Group Medi-Cal $40.92
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $37.20
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $59.56
Rate for Payer: Blue Shield of California Commercial $70.20
Rate for Payer: Blue Shield of California EPN $66.36
Rate for Payer: Cash Price $50.87
Rate for Payer: Cash Price $50.87
Rate for Payer: Cigna of CA HMO/PPO $73.48
Rate for Payer: Dignity Health Commercial/Exchange $55.80
Rate for Payer: Dignity Health Medi-Cal $40.92
Rate for Payer: Dignity Health Senior $37.20
Rate for Payer: EPIC Health Plan Commercial $73.48
Rate for Payer: EPIC Health Plan Medicare $37.20
Rate for Payer: Heritage Provider Network Commercial $69.98
Rate for Payer: Heritage Provider Network Senior $69.98
Rate for Payer: Humana Medicare $37.20
Rate for Payer: IEHP Medi-Cal $5.24
Rate for Payer: IEHP Medicare Advantage $37.20
Rate for Payer: Kaiser Permanente of CA Commercial $70.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal $20.46
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $43.90
Rate for Payer: LLUH Dept of Risk Management WC $28.26
Rate for Payer: Molina Healthcare of CA Medi-Cal $46.87
Rate for Payer: Molina Healthcare of CA Medicare $46.87
Rate for Payer: Multiplan Commercial $84.79
Rate for Payer: TriValley Medical Group Commercial $37.20
Rate for Payer: TriValley Medical Group Senior $37.20
Rate for Payer: United Healthcare All Other HMO/non HMO $27.25
Rate for Payer: United Healthcare Navigate/Select/Select+ $27.25
Rate for Payer: Vantage Medical Group Commercial/Exchange $55.80
Rate for Payer: Vantage Medical Group Medi-Cal $40.92
Rate for Payer: Vantage Medical Group Senior $37.20
Service Code CPT 86580
Hospital Charge Code 1720235
Hospital Revenue Code 302
Min. Negotiated Rate $21.48
Max. Negotiated Rate $89.02
Rate for Payer: Adventist Health Commercial $23.74
Rate for Payer: Aetna of CA Non-Gatekeeper $81.55
Rate for Payer: Cash Price $53.42
Rate for Payer: Heritage Provider Network Commercial $80.36
Rate for Payer: Heritage Provider Network Senior $80.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal $21.48
Rate for Payer: LLUH Dept of Risk Management WC $29.68
Rate for Payer: Multiplan Commercial $89.02
Service Code CPT 86580
Hospital Charge Code 1720235
Hospital Revenue Code 302
Min. Negotiated Rate $5.24
Max. Negotiated Rate $89.02
Rate for Payer: Adventist Health Commercial $23.74
Rate for Payer: Aetna of CA Gatekeeper $16.30
Rate for Payer: Aetna of CA Non-Gatekeeper $81.55
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $55.80
Rate for Payer: AlphaCare Medical Group Medi-Cal $40.92
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $37.20
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $59.56
Rate for Payer: Blue Shield of California Commercial $73.71
Rate for Payer: Blue Shield of California EPN $69.68
Rate for Payer: Cash Price $53.42
Rate for Payer: Cash Price $53.42
Rate for Payer: Cigna of CA HMO/PPO $77.16
Rate for Payer: Dignity Health Commercial/Exchange $55.80
Rate for Payer: Dignity Health Medi-Cal $40.92
Rate for Payer: Dignity Health Senior $37.20
Rate for Payer: EPIC Health Plan Commercial $77.16
Rate for Payer: EPIC Health Plan Medicare $37.20
Rate for Payer: Heritage Provider Network Commercial $73.48
Rate for Payer: Heritage Provider Network Senior $73.48
Rate for Payer: Humana Medicare $37.20
Rate for Payer: IEHP Medi-Cal $5.24
Rate for Payer: IEHP Medicare Advantage $37.20
Rate for Payer: Kaiser Permanente of CA Commercial $70.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal $21.48
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $43.90
Rate for Payer: LLUH Dept of Risk Management WC $29.68
Rate for Payer: Molina Healthcare of CA Medi-Cal $46.87
Rate for Payer: Molina Healthcare of CA Medicare $46.87
Rate for Payer: Multiplan Commercial $89.02
Rate for Payer: TriValley Medical Group Commercial $37.20
Rate for Payer: TriValley Medical Group Senior $37.20
Rate for Payer: United Healthcare All Other HMO/non HMO $27.25
Rate for Payer: United Healthcare Navigate/Select/Select+ $27.25
Rate for Payer: Vantage Medical Group Commercial/Exchange $55.80
Rate for Payer: Vantage Medical Group Medi-Cal $40.92
Rate for Payer: Vantage Medical Group Senior $37.20
Service Code CPT 86580
Hospital Charge Code NDG2224
Hospital Revenue Code 302
Min. Negotiated Rate $20.46
Max. Negotiated Rate $84.79
Rate for Payer: Adventist Health Commercial $22.61
Rate for Payer: Aetna of CA Non-Gatekeeper $77.67
Rate for Payer: Cash Price $50.87
Rate for Payer: Heritage Provider Network Commercial $76.53
Rate for Payer: Heritage Provider Network Senior $76.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal $20.46
Rate for Payer: LLUH Dept of Risk Management WC $28.26
Rate for Payer: Multiplan Commercial $84.79
Service Code CPT 86580
Hospital Charge Code NDG8259
Hospital Revenue Code 302
Min. Negotiated Rate $5.24
Max. Negotiated Rate $70.68
Rate for Payer: Adventist Health Commercial $18.41
Rate for Payer: Aetna of CA Gatekeeper $16.30
Rate for Payer: Aetna of CA Non-Gatekeeper $63.24
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $55.80
Rate for Payer: AlphaCare Medical Group Medi-Cal $40.92
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $37.20
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $59.56
Rate for Payer: Blue Shield of California Commercial $57.16
Rate for Payer: Blue Shield of California EPN $54.03
Rate for Payer: Cash Price $41.42
Rate for Payer: Cash Price $41.42
Rate for Payer: Cigna of CA HMO/PPO $59.83
Rate for Payer: Dignity Health Commercial/Exchange $55.80
Rate for Payer: Dignity Health Medi-Cal $40.92
Rate for Payer: Dignity Health Senior $37.20
Rate for Payer: EPIC Health Plan Commercial $59.83
Rate for Payer: EPIC Health Plan Medicare $37.20
Rate for Payer: Heritage Provider Network Commercial $56.98
Rate for Payer: Heritage Provider Network Senior $56.98
Rate for Payer: Humana Medicare $37.20
Rate for Payer: IEHP Medi-Cal $5.24
Rate for Payer: IEHP Medicare Advantage $37.20
Rate for Payer: Kaiser Permanente of CA Commercial $70.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal $16.66
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $43.90
Rate for Payer: LLUH Dept of Risk Management WC $23.01
Rate for Payer: Molina Healthcare of CA Medi-Cal $46.87
Rate for Payer: Molina Healthcare of CA Medicare $46.87
Rate for Payer: Multiplan Commercial $69.04
Rate for Payer: TriValley Medical Group Commercial $37.20
Rate for Payer: TriValley Medical Group Senior $37.20
Rate for Payer: United Healthcare All Other HMO/non HMO $27.25
Rate for Payer: United Healthcare Navigate/Select/Select+ $27.25
Rate for Payer: Vantage Medical Group Commercial/Exchange $55.80
Rate for Payer: Vantage Medical Group Medi-Cal $40.92
Rate for Payer: Vantage Medical Group Senior $37.20
Service Code NDC 51144-002-12
Hospital Revenue Code 259
Min. Negotiated Rate $42.56
Max. Negotiated Rate $176.36
Rate for Payer: Adventist Health Commercial $47.03
Rate for Payer: Aetna of CA Non-Gatekeeper $161.54
Rate for Payer: Cash Price $105.81
Rate for Payer: EPIC Health Plan Commercial $126.98
Rate for Payer: Heritage Provider Network Commercial $159.19
Rate for Payer: Heritage Provider Network Senior $159.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal $42.56
Rate for Payer: LLUH Dept of Risk Management WC $58.78
Rate for Payer: Multiplan Commercial $176.36
Service Code NDC 51144-002-12
Hospital Revenue Code 259
Min. Negotiated Rate $42.56
Max. Negotiated Rate $199.87
Rate for Payer: Adventist Health Commercial $47.03
Rate for Payer: Aetna of CA Gatekeeper $125.68
Rate for Payer: Aetna of CA Non-Gatekeeper $161.54
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $199.87
Rate for Payer: AlphaCare Medical Group Medi-Cal $129.33
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $176.36
Rate for Payer: Blue Shield of California Commercial $146.02
Rate for Payer: Blue Shield of California EPN $138.03
Rate for Payer: Cash Price $105.81
Rate for Payer: Cigna of CA HMO/PPO $152.84
Rate for Payer: Dignity Health Commercial/Exchange $199.87
Rate for Payer: Dignity Health Medi-Cal $199.87
Rate for Payer: Dignity Health Senior $199.87
Rate for Payer: EPIC Health Plan Commercial $150.49
Rate for Payer: Heritage Provider Network Commercial $145.55
Rate for Payer: Heritage Provider Network Senior $145.55
Rate for Payer: Kaiser Permanente of CA Commercial $113.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal $42.56
Rate for Payer: LLUH Dept of Risk Management WC $58.78
Rate for Payer: Multiplan Commercial $176.36
Rate for Payer: Vantage Medical Group Medi-Cal $199.87
Rate for Payer: Vantage Medical Group Senior $199.87
Service Code NDC 51144-001-60
Hospital Revenue Code 259
Min. Negotiated Rate $21.17
Max. Negotiated Rate $87.70
Rate for Payer: Adventist Health Commercial $23.39
Rate for Payer: Aetna of CA Non-Gatekeeper $80.34
Rate for Payer: Cash Price $52.62
Rate for Payer: EPIC Health Plan Commercial $63.15
Rate for Payer: Heritage Provider Network Commercial $79.17
Rate for Payer: Heritage Provider Network Senior $79.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal $21.17
Rate for Payer: LLUH Dept of Risk Management WC $29.24
Rate for Payer: Multiplan Commercial $87.70
Service Code NDC 51144-001-60
Hospital Revenue Code 259
Min. Negotiated Rate $21.17
Max. Negotiated Rate $99.40
Rate for Payer: Adventist Health Commercial $23.39
Rate for Payer: Aetna of CA Gatekeeper $62.50
Rate for Payer: Aetna of CA Non-Gatekeeper $80.34
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $99.40
Rate for Payer: AlphaCare Medical Group Medi-Cal $64.32
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $87.70
Rate for Payer: Blue Shield of California Commercial $72.62
Rate for Payer: Blue Shield of California EPN $68.64
Rate for Payer: Cash Price $52.62
Rate for Payer: Cigna of CA HMO/PPO $76.01
Rate for Payer: Dignity Health Commercial/Exchange $99.40
Rate for Payer: Dignity Health Medi-Cal $99.40
Rate for Payer: Dignity Health Senior $99.40
Rate for Payer: EPIC Health Plan Commercial $74.84
Rate for Payer: Heritage Provider Network Commercial $72.39
Rate for Payer: Heritage Provider Network Senior $72.39
Rate for Payer: Kaiser Permanente of CA Commercial $56.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal $21.17
Rate for Payer: LLUH Dept of Risk Management WC $29.24
Rate for Payer: Multiplan Commercial $87.70
Rate for Payer: Vantage Medical Group Medi-Cal $99.40
Rate for Payer: Vantage Medical Group Senior $99.40
Service Code CPT 69610
Min. Negotiated Rate $222.44
Max. Negotiated Rate $4,547.00
Rate for Payer: Aetna of CA Gatekeeper $3,728.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $2,858.16
Rate for Payer: AlphaCare Medical Group Medi-Cal $2,095.98
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1,905.44
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,547.00
Rate for Payer: Dignity Health Commercial/Exchange $2,858.16
Rate for Payer: Dignity Health Medi-Cal $2,095.98
Rate for Payer: Dignity Health Senior $1,905.44
Rate for Payer: EPIC Health Plan Medicare $1,905.44
Rate for Payer: Humana Medicare $1,905.44
Rate for Payer: IEHP Medi-Cal $222.44
Rate for Payer: IEHP Medicare Advantage $1,905.44
Rate for Payer: Kaiser Permanente of CA Commercial $3,620.34
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,248.42
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,400.85
Rate for Payer: Molina Healthcare of CA Medicare $2,400.85
Rate for Payer: TriValley Medical Group Commercial $2,095.98
Rate for Payer: TriValley Medical Group Senior $1,905.44
Rate for Payer: Vantage Medical Group Commercial/Exchange $2,858.16
Rate for Payer: Vantage Medical Group Medi-Cal $2,095.98
Rate for Payer: Vantage Medical Group Senior $1,905.44
Service Code CPT 69637
Min. Negotiated Rate $1,742.36
Max. Negotiated Rate $13,902.11
Rate for Payer: Aetna of CA Gatekeeper $4,420.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $10,975.35
Rate for Payer: AlphaCare Medical Group Medi-Cal $8,048.59
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $7,316.90
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,792.00
Rate for Payer: Dignity Health Commercial/Exchange $10,975.35
Rate for Payer: Dignity Health Medi-Cal $8,048.59
Rate for Payer: Dignity Health Senior $7,316.90
Rate for Payer: EPIC Health Plan Medicare $7,316.90
Rate for Payer: Humana Medicare $7,316.90
Rate for Payer: IEHP Medi-Cal $1,742.36
Rate for Payer: IEHP Medicare Advantage $7,316.90
Rate for Payer: Kaiser Permanente of CA Commercial $13,902.11
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8,633.94
Rate for Payer: Molina Healthcare of CA Medi-Cal $9,219.29
Rate for Payer: Molina Healthcare of CA Medicare $9,219.29
Rate for Payer: TriValley Medical Group Commercial $8,048.59
Rate for Payer: TriValley Medical Group Senior $7,316.90
Rate for Payer: Vantage Medical Group Commercial/Exchange $10,975.35
Rate for Payer: Vantage Medical Group Medi-Cal $8,048.59
Rate for Payer: Vantage Medical Group Senior $7,316.90
Service Code CPT 69646
Min. Negotiated Rate $1,578.58
Max. Negotiated Rate $13,902.11
Rate for Payer: Aetna of CA Gatekeeper $4,420.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $10,975.35
Rate for Payer: AlphaCare Medical Group Medi-Cal $8,048.59
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $7,316.90
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,792.00
Rate for Payer: Dignity Health Commercial/Exchange $10,975.35
Rate for Payer: Dignity Health Medi-Cal $8,048.59
Rate for Payer: Dignity Health Senior $7,316.90
Rate for Payer: EPIC Health Plan Medicare $7,316.90
Rate for Payer: Humana Medicare $7,316.90
Rate for Payer: IEHP Medi-Cal $1,578.58
Rate for Payer: IEHP Medicare Advantage $7,316.90
Rate for Payer: Kaiser Permanente of CA Commercial $13,902.11
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8,633.94
Rate for Payer: Molina Healthcare of CA Medi-Cal $9,219.29
Rate for Payer: Molina Healthcare of CA Medicare $9,219.29
Rate for Payer: TriValley Medical Group Commercial $8,048.59
Rate for Payer: TriValley Medical Group Senior $7,316.90
Rate for Payer: Vantage Medical Group Commercial/Exchange $10,975.35
Rate for Payer: Vantage Medical Group Medi-Cal $8,048.59
Rate for Payer: Vantage Medical Group Senior $7,316.90
Service Code CPT 69645
Min. Negotiated Rate $293.87
Max. Negotiated Rate $13,902.11
Rate for Payer: Aetna of CA Gatekeeper $4,420.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $10,975.35
Rate for Payer: AlphaCare Medical Group Medi-Cal $8,048.59
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $7,316.90
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,792.00
Rate for Payer: Dignity Health Commercial/Exchange $10,975.35
Rate for Payer: Dignity Health Medi-Cal $8,048.59
Rate for Payer: Dignity Health Senior $7,316.90
Rate for Payer: EPIC Health Plan Medicare $7,316.90
Rate for Payer: Humana Medicare $7,316.90
Rate for Payer: IEHP Medi-Cal $293.87
Rate for Payer: IEHP Medicare Advantage $7,316.90
Rate for Payer: Kaiser Permanente of CA Commercial $13,902.11
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8,633.94
Rate for Payer: Molina Healthcare of CA Medi-Cal $9,219.29
Rate for Payer: Molina Healthcare of CA Medicare $9,219.29
Rate for Payer: TriValley Medical Group Commercial $8,048.59
Rate for Payer: TriValley Medical Group Senior $7,316.90
Rate for Payer: Vantage Medical Group Commercial/Exchange $10,975.35
Rate for Payer: Vantage Medical Group Medi-Cal $8,048.59
Rate for Payer: Vantage Medical Group Senior $7,316.90
Service Code CPT 69643
Min. Negotiated Rate $278.77
Max. Negotiated Rate $13,902.11
Rate for Payer: Aetna of CA Gatekeeper $4,420.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $10,975.35
Rate for Payer: AlphaCare Medical Group Medi-Cal $8,048.59
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $7,316.90
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,792.00
Rate for Payer: Dignity Health Commercial/Exchange $10,975.35
Rate for Payer: Dignity Health Medi-Cal $8,048.59
Rate for Payer: Dignity Health Senior $7,316.90
Rate for Payer: EPIC Health Plan Medicare $7,316.90
Rate for Payer: Humana Medicare $7,316.90
Rate for Payer: IEHP Medi-Cal $278.77
Rate for Payer: IEHP Medicare Advantage $7,316.90
Rate for Payer: Kaiser Permanente of CA Commercial $13,902.11
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8,633.94
Rate for Payer: Molina Healthcare of CA Medi-Cal $9,219.29
Rate for Payer: Molina Healthcare of CA Medicare $9,219.29
Rate for Payer: TriValley Medical Group Commercial $8,048.59
Rate for Payer: TriValley Medical Group Senior $7,316.90
Rate for Payer: Vantage Medical Group Commercial/Exchange $10,975.35
Rate for Payer: Vantage Medical Group Medi-Cal $8,048.59
Rate for Payer: Vantage Medical Group Senior $7,316.90
Service Code CPT 69642
Min. Negotiated Rate $1,507.15
Max. Negotiated Rate $13,902.11
Rate for Payer: Aetna of CA Gatekeeper $4,420.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $10,975.35
Rate for Payer: AlphaCare Medical Group Medi-Cal $8,048.59
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $7,316.90
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,792.00
Rate for Payer: Dignity Health Commercial/Exchange $10,975.35
Rate for Payer: Dignity Health Medi-Cal $8,048.59
Rate for Payer: Dignity Health Senior $7,316.90
Rate for Payer: EPIC Health Plan Medicare $7,316.90
Rate for Payer: Humana Medicare $7,316.90
Rate for Payer: IEHP Medi-Cal $1,507.15
Rate for Payer: IEHP Medicare Advantage $7,316.90
Rate for Payer: Kaiser Permanente of CA Commercial $13,902.11
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8,633.94
Rate for Payer: Molina Healthcare of CA Medi-Cal $9,219.29
Rate for Payer: Molina Healthcare of CA Medicare $9,219.29
Rate for Payer: TriValley Medical Group Commercial $8,048.59
Rate for Payer: TriValley Medical Group Senior $7,316.90
Rate for Payer: Vantage Medical Group Commercial/Exchange $10,975.35
Rate for Payer: Vantage Medical Group Medi-Cal $8,048.59
Rate for Payer: Vantage Medical Group Senior $7,316.90
Service Code CPT 69641
Min. Negotiated Rate $278.77
Max. Negotiated Rate $13,902.11
Rate for Payer: Aetna of CA Gatekeeper $4,420.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $10,975.35
Rate for Payer: AlphaCare Medical Group Medi-Cal $8,048.59
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $7,316.90
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,792.00
Rate for Payer: Dignity Health Commercial/Exchange $10,975.35
Rate for Payer: Dignity Health Medi-Cal $8,048.59
Rate for Payer: Dignity Health Senior $7,316.90
Rate for Payer: EPIC Health Plan Medicare $7,316.90
Rate for Payer: Humana Medicare $7,316.90
Rate for Payer: IEHP Medi-Cal $278.77
Rate for Payer: IEHP Medicare Advantage $7,316.90
Rate for Payer: Kaiser Permanente of CA Commercial $13,902.11
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8,633.94
Rate for Payer: Molina Healthcare of CA Medi-Cal $9,219.29
Rate for Payer: Molina Healthcare of CA Medicare $9,219.29
Rate for Payer: TriValley Medical Group Commercial $8,048.59
Rate for Payer: TriValley Medical Group Senior $7,316.90
Rate for Payer: Vantage Medical Group Commercial/Exchange $10,975.35
Rate for Payer: Vantage Medical Group Medi-Cal $8,048.59
Rate for Payer: Vantage Medical Group Senior $7,316.90
Service Code CPT 69633
Min. Negotiated Rate $255.54
Max. Negotiated Rate $13,902.11
Rate for Payer: Aetna of CA Gatekeeper $5,088.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $10,975.35
Rate for Payer: AlphaCare Medical Group Medi-Cal $8,048.59
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $7,316.90
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,054.00
Rate for Payer: Dignity Health Commercial/Exchange $10,975.35
Rate for Payer: Dignity Health Medi-Cal $8,048.59
Rate for Payer: Dignity Health Senior $7,316.90
Rate for Payer: EPIC Health Plan Medicare $7,316.90
Rate for Payer: Humana Medicare $7,316.90
Rate for Payer: IEHP Medi-Cal $255.54
Rate for Payer: IEHP Medicare Advantage $7,316.90
Rate for Payer: Kaiser Permanente of CA Commercial $13,902.11
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8,633.94
Rate for Payer: Molina Healthcare of CA Medi-Cal $9,219.29
Rate for Payer: Molina Healthcare of CA Medicare $9,219.29
Rate for Payer: TriValley Medical Group Commercial $8,048.59
Rate for Payer: TriValley Medical Group Senior $7,316.90
Rate for Payer: Vantage Medical Group Commercial/Exchange $10,975.35
Rate for Payer: Vantage Medical Group Medi-Cal $8,048.59
Rate for Payer: Vantage Medical Group Senior $7,316.90
Service Code CPT 69632
Min. Negotiated Rate $1,277.73
Max. Negotiated Rate $13,902.11
Rate for Payer: Aetna of CA Gatekeeper $5,088.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $10,975.35
Rate for Payer: AlphaCare Medical Group Medi-Cal $8,048.59
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $7,316.90
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,054.00
Rate for Payer: Dignity Health Commercial/Exchange $10,975.35
Rate for Payer: Dignity Health Medi-Cal $8,048.59
Rate for Payer: Dignity Health Senior $7,316.90
Rate for Payer: EPIC Health Plan Medicare $7,316.90
Rate for Payer: Humana Medicare $7,316.90
Rate for Payer: IEHP Medi-Cal $1,277.73
Rate for Payer: IEHP Medicare Advantage $7,316.90
Rate for Payer: Kaiser Permanente of CA Commercial $13,902.11
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8,633.94
Rate for Payer: Molina Healthcare of CA Medi-Cal $9,219.29
Rate for Payer: Molina Healthcare of CA Medicare $9,219.29
Rate for Payer: TriValley Medical Group Commercial $8,048.59
Rate for Payer: TriValley Medical Group Senior $7,316.90
Rate for Payer: Vantage Medical Group Commercial/Exchange $10,975.35
Rate for Payer: Vantage Medical Group Medi-Cal $8,048.59
Rate for Payer: Vantage Medical Group Senior $7,316.90
Service Code CPT 69631
Min. Negotiated Rate $255.54
Max. Negotiated Rate $13,902.11
Rate for Payer: Aetna of CA Gatekeeper $5,088.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $10,975.35
Rate for Payer: AlphaCare Medical Group Medi-Cal $8,048.59
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $7,316.90
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,054.00
Rate for Payer: Dignity Health Commercial/Exchange $10,975.35
Rate for Payer: Dignity Health Medi-Cal $8,048.59
Rate for Payer: Dignity Health Senior $7,316.90
Rate for Payer: EPIC Health Plan Medicare $7,316.90
Rate for Payer: Humana Medicare $7,316.90
Rate for Payer: IEHP Medi-Cal $255.54
Rate for Payer: IEHP Medicare Advantage $7,316.90
Rate for Payer: Kaiser Permanente of CA Commercial $13,902.11
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8,633.94
Rate for Payer: Molina Healthcare of CA Medi-Cal $9,219.29
Rate for Payer: Molina Healthcare of CA Medicare $9,219.29
Rate for Payer: TriValley Medical Group Commercial $8,048.59
Rate for Payer: TriValley Medical Group Senior $7,316.90
Rate for Payer: Vantage Medical Group Commercial/Exchange $10,975.35
Rate for Payer: Vantage Medical Group Medi-Cal $8,048.59
Rate for Payer: Vantage Medical Group Senior $7,316.90
Service Code CPT 69436
Min. Negotiated Rate $188.18
Max. Negotiated Rate $4,547.00
Rate for Payer: Aetna of CA Gatekeeper $3,728.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $2,858.16
Rate for Payer: AlphaCare Medical Group Medi-Cal $2,095.98
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1,905.44
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,547.00
Rate for Payer: Dignity Health Commercial/Exchange $2,858.16
Rate for Payer: Dignity Health Medi-Cal $2,095.98
Rate for Payer: Dignity Health Senior $1,905.44
Rate for Payer: EPIC Health Plan Medicare $1,905.44
Rate for Payer: Humana Medicare $1,905.44
Rate for Payer: IEHP Medi-Cal $188.18
Rate for Payer: IEHP Medicare Advantage $1,905.44
Rate for Payer: Kaiser Permanente of CA Commercial $3,620.34
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,248.42
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,400.85
Rate for Payer: Molina Healthcare of CA Medicare $2,400.85
Rate for Payer: TriValley Medical Group Commercial $2,095.98
Rate for Payer: TriValley Medical Group Senior $1,905.44
Rate for Payer: Vantage Medical Group Commercial/Exchange $2,858.16
Rate for Payer: Vantage Medical Group Medi-Cal $2,095.98
Rate for Payer: Vantage Medical Group Senior $1,905.44