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Charge Type Setting Price  
Hospital Charge Code 4638
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4639
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4640
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4641
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4642
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4643
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4644
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4645
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4646
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4647
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4648
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4649
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4650
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4651
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4652
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4653
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4654
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4655
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4656
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4657
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4658
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4659
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4660
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4661
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00
Hospital Charge Code 4662
Min. Negotiated Rate $3,913.00
Max. Negotiated Rate $3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,913.00