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Charge Type Setting Price  
Service Code ICD 02WG4KZ
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
Service Code ICD 02WH07Z
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
Service Code ICD 02WH08Z
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
Service Code ICD 02WH0JZ
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
Service Code ICD 02WH0KZ
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
Service Code ICD 02WH37Z
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
Service Code ICD 02WH38Z
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
Service Code ICD 02WH3JZ
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
Service Code ICD 02WH3KZ
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
Service Code ICD 02WH47Z
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
Service Code ICD 02WH48Z
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
Service Code ICD 02WH4JZ
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
Service Code ICD 02WH4KZ
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
Service Code ICD 02WJ07Z
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
Service Code ICD 02WJ08Z
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
Service Code ICD 02WJ0JZ
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
Service Code ICD 02WJ0KZ
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
Service Code ICD 02WJ37Z
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
Service Code ICD 02WJ38Z
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
Service Code ICD 02WJ3JZ
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
Service Code ICD 02WJ3KZ
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
Service Code ICD 02WJ47Z
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
Service Code ICD 02WJ48Z
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
Service Code ICD 02WJ4JZ
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
Service Code ICD 02WJ4KZ
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