Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047L35Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047F46Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047F45Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047F44Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047F441
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047F37Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047E46Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047E45Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047E35Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047E34Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047D441
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047D37Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047D36Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047C34Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047C04Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047846Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047845Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047844Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 0474041
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047347Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047346Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047345Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 0471441
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047137Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|
Drug-Eluting Stents (IP) - #2071
|
Facility
IP
|
$7,906.00
|
|
Service Code
|
ICD 047104Z
|
Min. Negotiated Rate |
$7,906.00 |
Max. Negotiated Rate |
$7,906.00 |
Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,906.00
|
|