|
02HL4KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1178
|
| 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
|
|
|
02HL4YZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1181
|
| 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
|
|
|
02HN0KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1183
|
| 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
|
|
|
02HN0YZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1184
|
| 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
|
|
|
02HN3KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1186
|
| 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
|
|
|
02HN3YZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1187
|
| 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
|
|
|
02HN4KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1189
|
| 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
|
|
|
02HN4YZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1190
|
| 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
|
|
|
02HS00Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1191
|
| 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
|
|
|
02HS30Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1192
|
| 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
|
|
|
02HS40Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1193
|
| 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
|
|
|
02HT00Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1194
|
| 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
|
|
|
02HT30Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1195
|
| 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
|
|
|
02HT40Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1196
|
| 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
|
|
|
02HV00Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1197
|
| 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
|
|
|
02HV30Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1198
|
| 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
|
|
|
02HV40Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1199
|
| 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
|
|
|
02HW00Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1200
|
| 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
|
|
|
02HW30Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1201
|
| 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
|
|
|
02HW40Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1202
|
| 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
|
|
|
02HX00Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1203
|
| 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
|
|
|
02HX30Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1204
|
| 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
|
|
|
02HX40Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1205
|
| 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
|
|
|
02L70ZK
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1206
|
| 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
|
|
|
02L73ZK
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1207
|
| 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
|
|
