|
02WG4KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3549
|
| 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
|
|
|
02WH07Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3550
|
| 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
|
|
|
02WH08Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3551
|
| 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
|
|
|
02WH0JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3552
|
| 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
|
|
|
02WH0KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3553
|
| 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
|
|
|
02WH37Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1532
|
| 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
|
|
|
02WH38Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1533
|
| 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
|
|
|
02WH3JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1534
|
| 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
|
|
|
02WH3KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1535
|
| 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
|
|
|
02WH47Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3554
|
| 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
|
|
|
02WH48Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3555
|
| 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
|
|
|
02WH4JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3556
|
| 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
|
|
|
02WH4KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3557
|
| 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
|
|
|
02WJ07Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3558
|
| 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
|
|
|
02WJ08Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3559
|
| 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
|
|
|
02WJ0JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3560
|
| 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
|
|
|
02WJ0KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3561
|
| 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
|
|
|
02WJ37Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1536
|
| 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
|
|
|
02WJ38Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1537
|
| 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
|
|
|
02WJ3JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1538
|
| 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
|
|
|
02WJ3KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1539
|
| 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
|
|
|
02WJ47Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3562
|
| 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
|
|
|
02WJ48Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3563
|
| 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
|
|
|
02WJ4JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3564
|
| 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
|
|
|
02WJ4KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3565
|
| 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
|
|
