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Charge Type Setting Price  
Service Code ICD 0RG1471
Hospital Charge Code 14495
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 0RG147J
Hospital Charge Code 14496
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 0RG14A0
Hospital Charge Code 14497
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 0RG14AJ
Hospital Charge Code 14498
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 0RG14J0
Hospital Charge Code 14499
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 0RG14J1
Hospital Charge Code 14500
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 0RG14JJ
Hospital Charge Code 14501
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 0RG14K0
Hospital Charge Code 14502
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 0RG14K1
Hospital Charge Code 14503
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 0RG14KJ
Hospital Charge Code 14504
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 0RG2070
Hospital Charge Code 14505
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 0RG2071
Hospital Charge Code 14506
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 0RG207J
Hospital Charge Code 14507
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 0RG20A0
Hospital Charge Code 14508
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 0RG20AJ
Hospital Charge Code 14509
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 0RG20J0
Hospital Charge Code 14510
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 0RG20J1
Hospital Charge Code 14511
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 0RG20JJ
Hospital Charge Code 14512
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 0RG20K0
Hospital Charge Code 14513
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 0RG20K1
Hospital Charge Code 14514
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 0RG20KJ
Hospital Charge Code 14515
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 0RG2370
Hospital Charge Code 14516
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 0RG2371
Hospital Charge Code 14517
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 0RG237J
Hospital Charge Code 14518
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 0RG23A0
Hospital Charge Code 14519
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