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Charge Type Setting Price  
Service Code ICD 0RG00J1
Hospital Charge Code 14445
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG00JJ
Hospital Charge Code 14446
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG00K0
Hospital Charge Code 14447
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG00K1
Hospital Charge Code 14448
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG00KJ
Hospital Charge Code 14449
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG0370
Hospital Charge Code 14450
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG0371
Hospital Charge Code 14451
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG037J
Hospital Charge Code 14452
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG03A0
Hospital Charge Code 14453
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG03AJ
Hospital Charge Code 14454
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG03J0
Hospital Charge Code 14455
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG03J1
Hospital Charge Code 14456
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG03JJ
Hospital Charge Code 14457
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG03K0
Hospital Charge Code 14458
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG03K1
Hospital Charge Code 14459
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG03KJ
Hospital Charge Code 14460
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG0470
Hospital Charge Code 14461
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG0471
Hospital Charge Code 14462
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG047J
Hospital Charge Code 14463
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG04A0
Hospital Charge Code 14464
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG04AJ
Hospital Charge Code 14465
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG04J0
Hospital Charge Code 14466
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG04J1
Hospital Charge Code 14467
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG04JJ
Hospital Charge Code 14468
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00
Service Code ICD 0RG04K0
Hospital Charge Code 14469
Min. Negotiated Rate $15,839.00
Max. Negotiated Rate $15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,839.00