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
|
|
02WA4YZ
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
1521
|
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
|
|
02WF07Z
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
3535
|
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
|
|
02WF08Z
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
3536
|
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
|
|
02WF0JZ
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
1523
|
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
|
|
02WF0KZ
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
3537
|
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
|
|
02WF37Z
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
1524
|
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
|
|
02WF38Z
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
1525
|
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
|
|
02WF3JZ
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
1526
|
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
|
|
02WF3KZ
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
1527
|
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
|
|
02WF47Z
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
3538
|
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
|
|
02WF48Z
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
3539
|
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
|
|
02WF4JZ
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
3540
|
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
|
|
02WF4KZ
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
3541
|
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
|
|
02WG07Z
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
3542
|
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
|
|
02WG08Z
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
3543
|
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
|
|
02WG0JZ
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
3544
|
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
|
|
02WG0KZ
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
3545
|
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
|
|
02WG37Z
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
1528
|
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
|
|
02WG38Z
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
1529
|
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
|
|
02WG3JZ
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
1530
|
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
|
|
02WG3KZ
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
1531
|
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
|
|
02WG47Z
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
3546
|
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
|
|
02WG48Z
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
3547
|
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
|
|
02WG4JZ
|
Facility
|
IP
|
$10,777.00
|
|
Hospital Charge Code |
3548
|
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
|
|