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All Charges

Charge Type Setting Price  
Service Code ICD 037C0D6
Hospital Charge Code 3788
Min. Negotiated Rate $4,070.00
Max. Negotiated Rate $4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,070.00
Service Code ICD 037C0DZ
Hospital Charge Code 3789
Min. Negotiated Rate $4,070.00
Max. Negotiated Rate $4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,070.00
Service Code ICD 037C0EZ
Hospital Charge Code 3790
Min. Negotiated Rate $4,070.00
Max. Negotiated Rate $4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,070.00
Service Code ICD 037C0FZ
Hospital Charge Code 3791
Min. Negotiated Rate $4,070.00
Max. Negotiated Rate $4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,070.00
Service Code ICD 037C0GZ
Hospital Charge Code 3792
Min. Negotiated Rate $4,070.00
Max. Negotiated Rate $4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,070.00
Service Code ICD 037C34Z
Hospital Charge Code 1699
Min. Negotiated Rate $8,968.00
Max. Negotiated Rate $8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,968.00
Service Code ICD 037C35Z
Hospital Charge Code 1700
Min. Negotiated Rate $8,968.00
Max. Negotiated Rate $8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,968.00
Service Code ICD 037C36Z
Hospital Charge Code 1701
Min. Negotiated Rate $8,968.00
Max. Negotiated Rate $8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,968.00
Service Code ICD 037C37Z
Hospital Charge Code 1702
Min. Negotiated Rate $8,968.00
Max. Negotiated Rate $8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,968.00
Service Code ICD 037C3D1
Hospital Charge Code 3793
Min. Negotiated Rate $4,070.00
Max. Negotiated Rate $4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,070.00
Service Code ICD 037C3D6
Hospital Charge Code 3794
Min. Negotiated Rate $4,070.00
Max. Negotiated Rate $4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,070.00
Service Code ICD 037C3DZ
Hospital Charge Code 3795
Min. Negotiated Rate $4,070.00
Max. Negotiated Rate $4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,070.00
Service Code ICD 037C3EZ
Hospital Charge Code 3796
Min. Negotiated Rate $4,070.00
Max. Negotiated Rate $4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,070.00
Service Code ICD 037C3FZ
Hospital Charge Code 3797
Min. Negotiated Rate $4,070.00
Max. Negotiated Rate $4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,070.00
Service Code ICD 037C3GZ
Hospital Charge Code 3798
Min. Negotiated Rate $4,070.00
Max. Negotiated Rate $4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,070.00
Service Code ICD 037C44Z
Hospital Charge Code 1703
Min. Negotiated Rate $8,968.00
Max. Negotiated Rate $8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,968.00
Service Code ICD 037C45Z
Hospital Charge Code 1704
Min. Negotiated Rate $8,968.00
Max. Negotiated Rate $8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,968.00
Service Code ICD 037C46Z
Hospital Charge Code 1705
Min. Negotiated Rate $8,968.00
Max. Negotiated Rate $8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,968.00
Service Code ICD 037C47Z
Hospital Charge Code 1706
Min. Negotiated Rate $8,968.00
Max. Negotiated Rate $8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,968.00
Service Code ICD 037C4D1
Hospital Charge Code 3799
Min. Negotiated Rate $4,070.00
Max. Negotiated Rate $4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,070.00
Service Code ICD 037C4D6
Hospital Charge Code 3800
Min. Negotiated Rate $4,070.00
Max. Negotiated Rate $4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,070.00
Service Code ICD 037C4DZ
Hospital Charge Code 3801
Min. Negotiated Rate $4,070.00
Max. Negotiated Rate $4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,070.00
Service Code ICD 037C4EZ
Hospital Charge Code 3802
Min. Negotiated Rate $4,070.00
Max. Negotiated Rate $4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,070.00
Service Code ICD 037C4FZ
Hospital Charge Code 3803
Min. Negotiated Rate $4,070.00
Max. Negotiated Rate $4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,070.00
Service Code ICD 037C4GZ
Hospital Charge Code 3804
Min. Negotiated Rate $4,070.00
Max. Negotiated Rate $4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,070.00