|
02RJ4KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3356
|
| 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
|
|
|
02RK07Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3357
|
| 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
|
|
|
02RK08Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1314
|
| 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
|
|
|
02RK0JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1315
|
| 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
|
|
|
02RK0KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1316
|
| 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
|
|
|
02RK48Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1317
|
| 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
|
|
|
02RK4JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3358
|
| 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
|
|
|
02RL08Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1319
|
| 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
|
|
|
02RL0JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1320
|
| 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
|
|
|
02RL48Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1322
|
| 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
|
|
|
02RL4JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3359
|
| 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
|
|
|
02RM08Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1324
|
| 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
|
|
|
02RM0JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1325
|
| 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
|
|
|
02RM48Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1327
|
| 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
|
|
|
02RM4JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1328
|
| 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
|
|
|
02RN07Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3360
|
| 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
|
|
|
02RN08Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3361
|
| 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
|
|
|
02RN0JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3362
|
| 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
|
|
|
02RN0KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3363
|
| 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
|
|
|
02RN47Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3364
|
| 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
|
|
|
02RN48Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3365
|
| 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
|
|
|
02RN4JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3366
|
| 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
|
|
|
02RN4KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3367
|
| 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
|
|
|
02RP0JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1330
|
| 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
|
|
|
02RQ07Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1331
|
| 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
|
|
