|
02N40ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1233
|
| 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
|
|
|
02N43ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3181
|
| 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
|
|
|
02N44ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3182
|
| 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
|
|
|
02N50ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1234
|
| 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
|
|
|
02N53ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3183
|
| 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
|
|
|
02N54ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3184
|
| 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
|
|
|
02N60ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1235
|
| 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
|
|
|
02N63ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3185
|
| 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
|
|
|
02N64ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3186
|
| 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
|
|
|
02N70ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3187
|
| 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
|
|
|
02N73ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3188
|
| 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
|
|
|
02N74ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3189
|
| 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
|
|
|
02N80ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1236
|
| 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
|
|
|
02N83ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3190
|
| 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
|
|
|
02N84ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3191
|
| 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
|
|
|
02N90ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1237
|
| 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
|
|
|
02N93ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3192
|
| 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
|
|
|
02N94ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3193
|
| 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
|
|
|
02ND0ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1238
|
| 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
|
|
|
02ND3ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3194
|
| 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
|
|
|
02ND4ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3195
|
| 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
|
|
|
02NF0ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1239
|
| 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
|
|
|
02NG0ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1240
|
| 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
|
|
|
02NH0ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1241
|
| 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
|
|
|
02NJ0ZZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1242
|
| 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
|
|
