|
0RG647J
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG647J
|
| Hospital Charge Code |
14595
|
| 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
|
|
|
0RG64A0
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG64A0
|
| Hospital Charge Code |
14596
|
| 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
|
|
|
0RG64AJ
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG64AJ
|
| Hospital Charge Code |
14597
|
| 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
|
|
|
0RG64J0
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG64J0
|
| Hospital Charge Code |
14598
|
| 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
|
|
|
0RG64J1
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG64J1
|
| Hospital Charge Code |
14599
|
| 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
|
|
|
0RG64JJ
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG64JJ
|
| Hospital Charge Code |
14600
|
| 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
|
|
|
0RG64K0
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG64K0
|
| Hospital Charge Code |
14601
|
| 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
|
|
|
0RG64K1
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG64K1
|
| Hospital Charge Code |
14602
|
| 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
|
|
|
0RG64KJ
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG64KJ
|
| Hospital Charge Code |
14603
|
| 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
|
|
|
0RG7070
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG7070
|
| Hospital Charge Code |
14604
|
| 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
|
|
|
0RG7071
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG7071
|
| Hospital Charge Code |
14605
|
| 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
|
|
|
0RG707J
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG707J
|
| Hospital Charge Code |
14606
|
| 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
|
|
|
0RG70A0
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG70A0
|
| Hospital Charge Code |
14607
|
| 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
|
|
|
0RG70AJ
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG70AJ
|
| Hospital Charge Code |
14608
|
| 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
|
|
|
0RG70J0
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG70J0
|
| Hospital Charge Code |
14609
|
| 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
|
|
|
0RG70J1
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG70J1
|
| Hospital Charge Code |
14610
|
| 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
|
|
|
0RG70JJ
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG70JJ
|
| Hospital Charge Code |
14611
|
| 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
|
|
|
0RG70K0
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG70K0
|
| Hospital Charge Code |
14612
|
| 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
|
|
|
0RG70K1
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG70K1
|
| Hospital Charge Code |
14613
|
| 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
|
|
|
0RG70KJ
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG70KJ
|
| Hospital Charge Code |
14614
|
| 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
|
|
|
0RG7370
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG7370
|
| Hospital Charge Code |
14615
|
| 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
|
|
|
0RG7371
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG7371
|
| Hospital Charge Code |
14616
|
| 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
|
|
|
0RG737J
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG737J
|
| Hospital Charge Code |
14617
|
| 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
|
|
|
0RG73A0
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG73A0
|
| Hospital Charge Code |
14618
|
| 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
|
|
|
0RG73AJ
|
Facility
|
IP
|
$15,839.00
|
|
|
Service Code
|
ICD 0RG73AJ
|
| Hospital Charge Code |
14619
|
| 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
|
|