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Charge Type Setting Price  
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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