|
02WA0YZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1505
|
| 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
|
|
|
02WA32Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1506
|
| 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
|
|
|
02WA33Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3521
|
| 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
|
|
|
02WA37Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3522
|
| 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
|
|
|
02WA38Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3523
|
| 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
|
|
|
02WA3CZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3524
|
| 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
|
|
|
02WA3DZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3525
|
| 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
|
|
|
02WA3JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3526
|
| 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
|
|
|
02WA3KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3527
|
| 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
|
|
|
02WA3QZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1508
|
| 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
|
|
|
02WA3QZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1509
|
| 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
|
|
|
02WA3RS
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1511
|
| 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
|
|
|
02WA3RS
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1510
|
| 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
|
|
|
02WA3YZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1513
|
| 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
|
|
|
02WA42Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1514
|
| 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
|
|
|
02WA43Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3528
|
| 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
|
|
|
02WA47Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3529
|
| 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
|
|
|
02WA48Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3530
|
| 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
|
|
|
02WA4CZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3531
|
| 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
|
|
|
02WA4DZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3532
|
| 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
|
|
|
02WA4JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3533
|
| 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
|
|
|
02WA4KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3534
|
| 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
|
|
|
02WA4QZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1517
|
| 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
|
|
|
02WA4QZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1516
|
| 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
|
|
|
02WA4RS
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1518
|
| 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
|
|
