|
02HA3QZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1126
|
| 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
|
|
|
02HA3QZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1125
|
| 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
|
|
|
02HA3RJ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1127
|
| 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
|
|
|
02HA3RS
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1128
|
| 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
|
|
|
02HA3RZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1129
|
| 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
|
|
|
02HA3RZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1130
|
| 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
|
|
|
02HA3YZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1131
|
| 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
|
|
|
02HA4QZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1133
|
| 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
|
|
|
02HA4QZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1132
|
| 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
|
|
|
02HA4RJ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1134
|
| 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
|
|
|
02HA4RS
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1135
|
| 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
|
|
|
02HA4RZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1137
|
| 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
|
|
|
02HA4RZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1136
|
| 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
|
|
|
02HA4YZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1138
|
| 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
|
|
|
02HK03Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1139
|
| 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
|
|
|
02HK0DZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1140
|
| 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
|
|
|
02HK0KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1142
|
| 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
|
|
|
02HK0KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1143
|
| 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
|
|
|
02HK0MZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1144
|
| 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
|
|
|
02HK0YZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1146
|
| 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
|
|
|
02HK3DZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3174
|
| 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
|
|
|
02HK3KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1149
|
| 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
|
|
|
02HK3KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1148
|
| 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
|
|
|
02HK3MZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1150
|
| 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
|
|
|
02HK3YZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1152
|
| 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
|
|
