|
02UH3JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3460
|
| 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
|
|
|
02UH3KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3461
|
| 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
|
|
|
02UH47Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3462
|
| 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
|
|
|
02UH48Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3463
|
| 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
|
|
|
02UH4JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3464
|
| 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
|
|
|
02UH4KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3465
|
| 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
|
|
|
02UJ07G
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1440
|
| 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
|
|
|
02UJ07Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3466
|
| 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
|
|
|
02UJ08G
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1441
|
| 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
|
|
|
02UJ08Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3467
|
| 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
|
|
|
02UJ0JG
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1442
|
| 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
|
|
|
02UJ0JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3468
|
| 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
|
|
|
02UJ0KG
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1443
|
| 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
|
|
|
02UJ0KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3469
|
| 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
|
|
|
02UJ37G
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1444
|
| 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
|
|
|
02UJ37Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3470
|
| 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
|
|
|
02UJ38G
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1445
|
| 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
|
|
|
02UJ38Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3471
|
| 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
|
|
|
02UJ3JG
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1446
|
| 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
|
|
|
02UJ3JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3472
|
| 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
|
|
|
02UJ3KG
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1447
|
| 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
|
|
|
02UJ3KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3473
|
| 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
|
|
|
02UJ47G
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1448
|
| 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
|
|
|
02UJ47Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3474
|
| 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
|
|
|
02UJ48G
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1449
|
| 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
|
|
