|
02UJ48Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3475
|
| 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
|
|
|
02UJ4JG
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1450
|
| 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
|
|
|
02UJ4JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3476
|
| 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
|
|
|
02UJ4KG
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1451
|
| 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
|
|
|
02UJ4KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3477
|
| 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
|
|
|
02UK07Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3478
|
| 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
|
|
|
02UK08Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3479
|
| 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
|
|
|
02UK0JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1452
|
| 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
|
|
|
02UK0KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1453
|
| 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
|
|
|
02UK37Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3480
|
| 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
|
|
|
02UK38Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3481
|
| 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
|
|
|
02UK3JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3482
|
| 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
|
|
|
02UK3KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1454
|
| 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
|
|
|
02UK47Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3483
|
| 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
|
|
|
02UK48Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3484
|
| 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
|
|
|
02UK4JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3485
|
| 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
|
|
|
02UK4KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1455
|
| 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
|
|
|
02UL07Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3486
|
| 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
|
|
|
02UL08Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3487
|
| 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
|
|
|
02UL0JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3488
|
| 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
|
|
|
02UL0KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1456
|
| 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
|
|
|
02UL37Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3489
|
| 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
|
|
|
02UL38Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3490
|
| 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
|
|
|
02UL3JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3491
|
| 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
|
|
|
02UL3KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1457
|
| 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
|
|
