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Charge Type Setting Price  
Service Code ICD 0RG40JJ
Hospital Charge Code 14545
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 0RG40K0
Hospital Charge Code 14546
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 0RG40K1
Hospital Charge Code 14547
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 0RG40KJ
Hospital Charge Code 14548
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 0RG4370
Hospital Charge Code 14549
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 0RG4371
Hospital Charge Code 14550
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 0RG437J
Hospital Charge Code 14551
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 0RG43A0
Hospital Charge Code 14552
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 0RG43AJ
Hospital Charge Code 14553
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 0RG43J0
Hospital Charge Code 14554
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 0RG43J1
Hospital Charge Code 14555
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 0RG43JJ
Hospital Charge Code 14556
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 0RG43K0
Hospital Charge Code 14557
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 0RG43K1
Hospital Charge Code 14558
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 0RG43KJ
Hospital Charge Code 14559
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 0RG4470
Hospital Charge Code 14560
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 0RG4471
Hospital Charge Code 14561
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 0RG447J
Hospital Charge Code 14562
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 0RG44A0
Hospital Charge Code 14563
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 0RG44AJ
Hospital Charge Code 14564
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 0RG44J0
Hospital Charge Code 14565
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 0RG44J1
Hospital Charge Code 14566
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 0RG44JJ
Hospital Charge Code 14567
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 0RG44K0
Hospital Charge Code 14568
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 0RG44K1
Hospital Charge Code 14569
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