|
B2061ZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B2061ZZ
|
| Hospital Charge Code |
5405
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B206YZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B206YZZ
|
| Hospital Charge Code |
5406
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B2070ZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B2070ZZ
|
| Hospital Charge Code |
5407
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B2071ZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B2071ZZ
|
| Hospital Charge Code |
5408
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B207YZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B207YZZ
|
| Hospital Charge Code |
5409
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B2080ZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B2080ZZ
|
| Hospital Charge Code |
5410
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B2081ZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B2081ZZ
|
| Hospital Charge Code |
5411
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B208YZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B208YZZ
|
| Hospital Charge Code |
5412
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B20F0ZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B20F0ZZ
|
| Hospital Charge Code |
5413
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B20F1ZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B20F1ZZ
|
| Hospital Charge Code |
5414
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B20FYZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B20FYZZ
|
| Hospital Charge Code |
5415
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B2100ZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B2100ZZ
|
| Hospital Charge Code |
5416
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B2101ZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B2101ZZ
|
| Hospital Charge Code |
5417
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B210YZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B210YZZ
|
| Hospital Charge Code |
5418
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B2110ZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B2110ZZ
|
| Hospital Charge Code |
5419
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B2111ZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B2111ZZ
|
| Hospital Charge Code |
5420
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B211YZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B211YZZ
|
| Hospital Charge Code |
5421
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B2120ZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B2120ZZ
|
| Hospital Charge Code |
5422
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B2121ZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B2121ZZ
|
| Hospital Charge Code |
5423
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B212YZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B212YZZ
|
| Hospital Charge Code |
5424
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B2130ZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B2130ZZ
|
| Hospital Charge Code |
5425
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B2131ZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B2131ZZ
|
| Hospital Charge Code |
5426
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B213YZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B213YZZ
|
| Hospital Charge Code |
5427
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B2140ZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B2140ZZ
|
| Hospital Charge Code |
5428
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
B2141ZZ
|
Facility
|
IP
|
$4,982.00
|
|
|
Service Code
|
ICD B2141ZZ
|
| Hospital Charge Code |
5429
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$4,982.00 |
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
