|
02RF48Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3322
|
| 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
|
|
|
02RF4JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1298
|
| 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
|
|
|
02RF4KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3323
|
| 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
|
|
|
02RG07Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3324
|
| 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
|
|
|
02RG08Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3325
|
| 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
|
|
|
02RG0JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3326
|
| 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
|
|
|
02RG0KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3327
|
| 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
|
|
|
02RG37H
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3328
|
| 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
|
|
|
02RG37Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1299
|
| 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
|
|
|
02RG38H
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3329
|
| 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
|
|
|
02RG38Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1300
|
| 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
|
|
|
02RG3JH
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1301
|
| 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
|
|
|
02RG3JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1302
|
| 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
|
|
|
02RG3KH
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3330
|
| 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
|
|
|
02RG3KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1303
|
| 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
|
|
|
02RG47Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3331
|
| 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
|
|
|
02RG48Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3332
|
| 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
|
|
|
02RG4JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3333
|
| 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
|
|
|
02RG4KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3334
|
| 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
|
|
|
02RH07Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3335
|
| 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
|
|
|
02RH08Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3336
|
| 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
|
|
|
02RH0JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3337
|
| 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
|
|
|
02RH0KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3338
|
| 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
|
|
|
02RH37H
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3339
|
| 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
|
|
|
02RH37Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3340
|
| 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
|
|
