{"reporting_entity_name":"Molina-Healthcare-of-Connecticut","reporting_entity_type":"health insurance issuer","last_updated_on":"2026-07-08","version":"2.0.0","provider_references":[{"provider_group_id":208382,"network_name":["CT Network"],"provider_groups":[{"npi":[1568883791],"tin":{"type":"ein","value":"261844644","business_name":"PHYSICIANS ANCILLARY SERVICES"}}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"Clinic - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0510","description":"Clinic","negotiated_rates":[{"provider_references":[208382],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":106.51,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":1091.04,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":1097.06,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":1166.13,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":119.17,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":1359.88,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":140.09,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":156.97,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":180.09,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":185.24,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":200.21,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":230.74,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":243.11,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":243.97,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":245.56,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":289.17,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":296.7,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":302.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":339.54,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":343.81,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":361.99,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":378.27,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":399.42,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":442.43,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":443.23,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":477.99,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":487.31,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":494.15,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":495.62,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":503.96,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":516.51,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":526.94,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":673.59,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":738.26,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":771.34,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":793.27,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":866.66,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":947.94,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]}]}