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Charge Type Setting Price  
Service Code ICD 02Q94ZZ
Hospital Charge Code 3250
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
Service Code ICD 02QA0ZZ
Hospital Charge Code 1268
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
Service Code ICD 02QA0ZZ
Hospital Charge Code 1269
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
Service Code ICD 02QA3ZZ
Hospital Charge Code 1272
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
Service Code ICD 02QA4ZZ
Hospital Charge Code 1273
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
Service Code ICD 02QB0ZZ
Hospital Charge Code 1274
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
Service Code ICD 02QB3ZZ
Hospital Charge Code 3251
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
Service Code ICD 02QB4ZZ
Hospital Charge Code 3252
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
Service Code ICD 02QC0ZZ
Hospital Charge Code 1275
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
Service Code ICD 02QC3ZZ
Hospital Charge Code 3253
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
Service Code ICD 02QC4ZZ
Hospital Charge Code 3254
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
Service Code ICD 02QD0ZZ
Hospital Charge Code 1276
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
Service Code ICD 02QD3ZZ
Hospital Charge Code 3255
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
Service Code ICD 02QD4ZZ
Hospital Charge Code 3256
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
Service Code ICD 02QF0ZJ
Hospital Charge Code 1277
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
Service Code ICD 02QF0ZZ
Hospital Charge Code 1278
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
Service Code ICD 02QF3ZJ
Hospital Charge Code 1279
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
Service Code ICD 02QF3ZZ
Hospital Charge Code 3257
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
Service Code ICD 02QF4ZJ
Hospital Charge Code 1280
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
Service Code ICD 02QF4ZZ
Hospital Charge Code 3258
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
Service Code ICD 02QG0ZE
Hospital Charge Code 1281
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
Service Code ICD 02QG0ZZ
Hospital Charge Code 1282
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
Service Code ICD 02QG3ZE
Hospital Charge Code 1283
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
Service Code ICD 02QG3ZZ
Hospital Charge Code 3259
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
Service Code ICD 02QG4ZE
Hospital Charge Code 1284
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