|
02UG0KE
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1430
|
| 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
|
|
|
02UG0KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3445
|
| 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
|
|
|
02UG37E
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1431
|
| 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
|
|
|
02UG37Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3446
|
| 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
|
|
|
02UG38E
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1432
|
| 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
|
|
|
02UG38Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3447
|
| 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
|
|
|
02UG3JE
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1433
|
| 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
|
|
|
02UG3JH
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1434
|
| 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
|
|
|
02UG3JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3448
|
| 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
|
|
|
02UG3KE
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1435
|
| 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
|
|
|
02UG3KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3449
|
| 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
|
|
|
02UG47E
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1436
|
| 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
|
|
|
02UG47Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3450
|
| 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
|
|
|
02UG48E
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1437
|
| 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
|
|
|
02UG48Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3451
|
| 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
|
|
|
02UG4JE
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1438
|
| 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
|
|
|
02UG4JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3452
|
| 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
|
|
|
02UG4KE
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1439
|
| 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
|
|
|
02UG4KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3453
|
| 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
|
|
|
02UH07Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3454
|
| 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
|
|
|
02UH08Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3455
|
| 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
|
|
|
02UH0JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3456
|
| 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
|
|
|
02UH0KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3457
|
| 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
|
|
|
02UH37Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3458
|
| 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
|
|
|
02UH38Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3459
|
| 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
|
|
