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Charge Type Setting Price  
Service Code ICD 02QG4ZZ
Hospital Charge Code 3260
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 02QH0ZZ
Hospital Charge Code 1285
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 02QH3ZZ
Hospital Charge Code 3261
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 02QH4ZZ
Hospital Charge Code 3262
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 02QJ0ZG
Hospital Charge Code 1286
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 02QJ0ZZ
Hospital Charge Code 1287
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 02QJ3ZG
Hospital Charge Code 1288
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 02QJ3ZZ
Hospital Charge Code 3263
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 02QJ4ZG
Hospital Charge Code 1289
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 02QJ4ZZ
Hospital Charge Code 3264
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 02QK0ZZ
Hospital Charge Code 1290
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 02QK3ZZ
Hospital Charge Code 3265
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 02QK4ZZ
Hospital Charge Code 3266
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 02QL0ZZ
Hospital Charge Code 3267
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 02QL3ZZ
Hospital Charge Code 3268
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 02QL4ZZ
Hospital Charge Code 3269
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 02QM0ZZ
Hospital Charge Code 1291
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 02QM3ZZ
Hospital Charge Code 3270
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 02QM4ZZ
Hospital Charge Code 3271
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 02QN0ZZ
Hospital Charge Code 1292
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 02QN3ZZ
Hospital Charge Code 3272
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 02QN4ZZ
Hospital Charge Code 3273
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 02R507Z
Hospital Charge Code 3274
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 02R508Z
Hospital Charge Code 3275
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 02R50JZ
Hospital Charge Code 1293
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