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All Charges

Charge Type Setting Price  
Service Code ICD 09HK01Z
Hospital Charge Code 4857
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 09HK31Z
Hospital Charge Code 4858
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 09HK41Z
Hospital Charge Code 4859
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 09HK71Z
Hospital Charge Code 4860
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 09HK81Z
Hospital Charge Code 4861
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 09HN71Z
Hospital Charge Code 4862
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 09HN81Z
Hospital Charge Code 4863
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 09HY01Z
Hospital Charge Code 4864
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 09HY31Z
Hospital Charge Code 4865
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 09HY41Z
Hospital Charge Code 4866
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 09HY71Z
Hospital Charge Code 4867
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 09HY81Z
Hospital Charge Code 4868
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 09PD0SZ
Hospital Charge Code 2519
Min. Negotiated Rate $29,875.00
Max. Negotiated Rate $29,875.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $29,875.00
Service Code ICD 09PD7SZ
Hospital Charge Code 2520
Min. Negotiated Rate $29,875.00
Max. Negotiated Rate $29,875.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $29,875.00
Service Code ICD 09PD8SZ
Hospital Charge Code 2521
Min. Negotiated Rate $29,875.00
Max. Negotiated Rate $29,875.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $29,875.00
Service Code ICD 09PE0SZ
Hospital Charge Code 2522
Min. Negotiated Rate $29,875.00
Max. Negotiated Rate $29,875.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $29,875.00
Service Code ICD 09PE7SZ
Hospital Charge Code 2523
Min. Negotiated Rate $29,875.00
Max. Negotiated Rate $29,875.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $29,875.00
Service Code ICD 09PE8SZ
Hospital Charge Code 2524
Min. Negotiated Rate $29,875.00
Max. Negotiated Rate $29,875.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $29,875.00
Service Code ICD 0BH001Z
Hospital Charge Code 4869
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 0BH031Z
Hospital Charge Code 4870
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 0BH041Z
Hospital Charge Code 4871
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 0BH071Z
Hospital Charge Code 4872
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 0BH081Z
Hospital Charge Code 4873
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 0BHK01Z
Hospital Charge Code 4874
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 0BHK31Z
Hospital Charge Code 4875
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00