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Charge Type Setting Price  
Service Code ICD 0RG80K0
Hospital Charge Code 14645
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 0RG80K1
Hospital Charge Code 14646
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 0RG80KJ
Hospital Charge Code 14647
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 0RG8370
Hospital Charge Code 14648
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 0RG8371
Hospital Charge Code 14649
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 0RG837J
Hospital Charge Code 14650
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 0RG83A0
Hospital Charge Code 14651
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 0RG83AJ
Hospital Charge Code 14652
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 0RG83J0
Hospital Charge Code 14653
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 0RG83J1
Hospital Charge Code 14654
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 0RG83JJ
Hospital Charge Code 14655
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 0RG83K0
Hospital Charge Code 14656
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 0RG83K1
Hospital Charge Code 14657
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 0RG83KJ
Hospital Charge Code 14658
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 0RG8470
Hospital Charge Code 14659
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 0RG8471
Hospital Charge Code 2621
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 0RG8471
Hospital Charge Code 14660
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 0RGA0AJ
Hospital Charge Code 14674
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 0RGA0AJ
Hospital Charge Code 2622
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 0RGA0J0
Hospital Charge Code 14675
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 0RGA0J1
Hospital Charge Code 14676
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 0RGA0JJ
Hospital Charge Code 14677
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 0RGA0K0
Hospital Charge Code 14678
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 0RGA0K1
Hospital Charge Code 14679
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 0RGA0KJ
Hospital Charge Code 14680
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