|
02B50ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
964
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02B53ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
965
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02B54ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
966
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02B60ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
967
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02B63ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
968
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02B64ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
969
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02B70ZK
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
970
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02B70ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
971
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02B73ZK
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
972
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02B73ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
973
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02B74ZK
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
974
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02B74ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
975
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02B80ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
976
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02B90ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
977
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02BD0ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
978
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02BD3ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
979
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02BD4ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
980
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02BF0ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
981
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02BG0ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
982
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02BH0ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
983
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02BJ0ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
984
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02BK0ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
985
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02BK3ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
986
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02BK4ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
987
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02BL0ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
988
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
